Effect of a comprehensive heart failure treatment program on left ventricular ejection fraction and six-minute walk distance in heart failure patients with reduced ejection fraction at Lampang Hospital
Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Ma...
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Faculty of Medicine, Chiang Mai University
2020
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| Online Access: | https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/240524/163709 http://cmuir.cmu.ac.th/jspui/handle/6653943832/68612 |
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th-cmuir.6653943832-686122020-05-20T04:41:48Z Effect of a comprehensive heart failure treatment program on left ventricular ejection fraction and six-minute walk distance in heart failure patients with reduced ejection fraction at Lampang Hospital ผลของรูปแบบการรักษาภาวะหัวใจล้มเหลวแบบครอบคลุมต่อการบีบตัวของหัวใจห้องล่างซ้ายและการทดสอบด้วยการเดิน 6 นาทีในผู้ป่วยภาวะหัวใจล้มเหลวชนิดที่มีการบีบตัวของหัวใจห้องล่างซ้ายลดลงในโรงพยาบาลลําปาง Boonyapiphat T Udol K heart failure comprehensive heart failure treatment heart failure clinic left ventricular ejection fraction six-minute walk distance multidisciplinary team Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec). Objectives Patients with chronic heart failure have excessively high mortality and readmission rates and a poor quality of life. This single group, pre-post intervention study aimed to evaluate the effects of a comprehensive heart failure treatment program on left ventricular ejection fraction (LVEF) and the six-minute walk distance in patients diagnosed with heart failure with reduced ejection fraction (HFrEF). Methods Patients with HFrEF participated in a comprehensive, on-going heart failure treatment program at Lampang Hospital. The program focuses on guideline-directed medical therapy (GDMT) for heart failure, cardiac rehabilita- tion, and health education for patients and caregivers regarding self-care and self-adjustment of diuretics. The program was managed by a multidisciplinary team comprised of cardiologists, heart failure nurses, pharmacists and physical therapists. LVEF was evaluated at baseline and at 6- and 9-month follow-ups. Six-minute walk distance was assessed at baseline and at 12±3 month follow-ups. Results Sixty-one HFrEF patients were included. After participation in the program, there was significant improve- ment in LVEF (mean LVEF 27% before participation vs. 47% at 6- and 9 month follow-ups, p<0.001) and six-minute walk distance (mean 313 m before participation vs. 357 m at 12±3 month follow-ups, p<0.001). Patients also reported improved quality of life and New York Heart Association functional class. Conclusions In patients with HFrEF, participation in a comprehensive heart failure treatment program may lead to improvement in LVEF and six-minute walk distance. 2020-05-20T04:41:48Z 2020-05-20T04:41:48Z 2020 Chiang Mai Medical Journal 59,1 (January-March 2020), p.1-9 0125-5983 https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/240524/163709 http://cmuir.cmu.ac.th/jspui/handle/6653943832/68612 Eng Faculty of Medicine, Chiang Mai University |
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Thailand Thailand |
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heart failure comprehensive heart failure treatment heart failure clinic left ventricular ejection fraction six-minute walk distance multidisciplinary team |
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heart failure comprehensive heart failure treatment heart failure clinic left ventricular ejection fraction six-minute walk distance multidisciplinary team Boonyapiphat T Udol K Effect of a comprehensive heart failure treatment program on left ventricular ejection fraction and six-minute walk distance in heart failure patients with reduced ejection fraction at Lampang Hospital |
| description |
Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec). |
| author |
Boonyapiphat T Udol K |
| author_facet |
Boonyapiphat T Udol K |
| author_sort |
Boonyapiphat T |
| title |
Effect of a comprehensive heart failure treatment program on left ventricular ejection fraction and six-minute walk distance in heart failure patients with reduced ejection fraction at Lampang Hospital |
| title_short |
Effect of a comprehensive heart failure treatment program on left ventricular ejection fraction and six-minute walk distance in heart failure patients with reduced ejection fraction at Lampang Hospital |
| title_full |
Effect of a comprehensive heart failure treatment program on left ventricular ejection fraction and six-minute walk distance in heart failure patients with reduced ejection fraction at Lampang Hospital |
| title_fullStr |
Effect of a comprehensive heart failure treatment program on left ventricular ejection fraction and six-minute walk distance in heart failure patients with reduced ejection fraction at Lampang Hospital |
| title_full_unstemmed |
Effect of a comprehensive heart failure treatment program on left ventricular ejection fraction and six-minute walk distance in heart failure patients with reduced ejection fraction at Lampang Hospital |
| title_sort |
effect of a comprehensive heart failure treatment program on left ventricular ejection fraction and six-minute walk distance in heart failure patients with reduced ejection fraction at lampang hospital |
| publisher |
Faculty of Medicine, Chiang Mai University |
| publishDate |
2020 |
| url |
https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/240524/163709 http://cmuir.cmu.ac.th/jspui/handle/6653943832/68612 |
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