Practical issues in the treatment of patients with heart failure.

Abstract:

:The management of heart failure is complex. Initiating and maintaining drug therapy in patients with heart failure can be challenging. Many factors influence the heart failure syndrome and are important to account for when evaluating these patients. Concomitant diseases such as ischemic heart disease and hypertension may contribute to worsening heart failure, and treatment strategies addressing these conditions should be implemented in affected patients. Concomitant drugs also must be considered. The heart failure population is at risk for drug interactions, both pharmacokinetic and pharmacodynamic, because these patients often take many drugs at the same time. Proactively recognizing potential interactions and modifying a patient's regimen to minimize or avoid adverse effects are important. Many agents are contraindicated in heart failure; thus, avoiding such therapies may significantly affect a patient's outcome. The successful treatment of a patient with heart failure requires careful consideration of many factors, including other diseases, drugs, and social issues. Addressing these factors when treating patients translates into improved pharmaceutical care.

journal_name

Pharmacotherapy

journal_title

Pharmacotherapy

authors

Gattis WA

doi

10.1592/phco.20.18.385s.34609

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

385S-391S

issue

11 Pt 2

eissn

0277-0008

issn

1875-9114

journal_volume

20

pub_type

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