Desai Shashank, Jessup Mariell
University of Pennsylvania, Philadelphia, PA 19104, USA.
Med Clin North Am. 2004 Sep;88(5):1369-80, xiii. doi: 10.1016/j.mcna.2004.04.017.
This article discusses practice guidelines for internists and primary care physicians who care for patients at risk for heart failure (HF).These guidelines include identifying the risk factors for the development of HF, identifying patients at risk for the development of HF, learning guideline goals for treatment and other recommendations concerning the management of patients at risk for HF, performing serial assessment of how well guideline goals have been met in patients at risk for HF, performing serial assessment of patients at risk for HF to determine possible progression of disease,considering consultation with other health personnel for patients with progressive stages of HF, enlisting hospitals and other care facilities to promote evidence-based management of patients in all stages of HF, and accessing educational materials for patients and other health care personnel.
本文讨论了针对照顾心力衰竭(HF)风险患者的内科医生和初级保健医生的实践指南。这些指南包括识别HF发生的风险因素、识别HF发生风险的患者、了解治疗的指南目标以及其他有关HF风险患者管理的建议、对HF风险患者实现指南目标的情况进行系列评估、对HF风险患者进行系列评估以确定疾病可能的进展、考虑为HF进展阶段的患者咨询其他医护人员、争取医院和其他护理机构促进对所有HF阶段患者的循证管理,以及获取针对患者和其他医护人员的教育资料。