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prevention of heart failure

Management: 1) healthy life style cuts risk of heart failure in half [1] - keeping a normal weight - not smoking - exercising regularly - drinking moderately - eating breakfast cereals - consuming fruits & vegetables - risk reduction larger with higher number of health behaviors [4] - quality sleep linked to lower risk of heart failure [5] 2) pharmaceutical measures for specific pathology - treat chronic hypertension to target of < 130/80 mm Hg [6] - nocturnal blood pressure may be important risk factor [2] - treat dyslipidemia - statins of benefit - aspirin for coronary artery disease [3]

Related

heart failure (HF)

General

prophylaxis (prevention, ppx)

References

  1. Djousse L et al Relation Between Modifiable Lifestyle Factors and Lifetime Risk of Heart Failure JAMA. 2009;302(4):394-400 PMID: 19622818
  2. Ingelsson E, Bjorklund-Bodegard K, Lind L, Arnlov J, Sundstrom J. Diurnal blood pressure pattern and risk of congestive heart failure. JAMA. 2006 Jun 28;295(24):2859-66. PMID: 16804152
  3. McAlister FA, Ghali WA, Gong Y, Fang J, Armstrong PW, Tu JV. Aspirin use and outcomes in a community-based cohort of 7352 patients discharged after first hospitalization for heart failure. Circulation. 2006 Jun 6;113(22):2572-8. Epub 2006 May 30. PMID: 16735672 - Jhund P, McMurray JJ. Does aspirin reduce the benefit of an angiotensin-converting enzyme inhibitor? Choosing between the Scylla of observational studies and the Charybdis of subgroup analysis. Circulation. 2006 Jun 6;113(22):2566-8. No abstract available. PMID: 16754810
  4. Agha G et al. Healthy lifestyle and decreasing risk of heart failure in women: The Women's Health Initiative observational study. J Am Coll Cardiol 2014 Oct 28; 64:1777 PMID: 25443698 http://www.sciencedirect.com/science/article/pii/S0735109714059075 - Heidenreich PA Healthy lifestyles and personal responsibility. J Am Coll Cardiol 2014 Oct 28; 64:1786. PMID: 25443699 http://www.sciencedirect.com/science/article/pii/S0735109714059087
  5. Li X, Xue Q, Wang M et al. Adherence to a healthy sleep pattern and incident heart failure: A prospective study of 408 802 UK biobank participants. Circulation 2021 Jan 5; 143:97 PMID: 33190528 PMCID: PMC7775332 https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.120.050792
  6. Medical Knowledge Self Assessment Program (MKSAP) 19 American College of Physicians, Philadelphia 2022