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Cited by 46Heart Failure Treatment and ManagementPain Management and Opioid UseHeart rate and cardiovascular health

The symptom of pain with heart failure: a systematic review

Godfrey, Christina, Harrison, Margaret B., Medves, Jennifer, Tranmer, Joan E.·2006·Journal of Cardiac Failure
DOI 10.1016/j.cardfail.2006.01.006
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Abstract

Background Pain is one of the most compelling reasons for seeking medical attention. Despite frequent hospitalizations and assessments, the symptom of pain is not often associated with heart failure (HF). The role of pain in exacerbations and hospitalization may be important. A systematic review to synthesize research related to reported pain in patients with HF was undertaken and factors considered to be related to the symptom of pain in this population were identified.Methods and results Relevant articles were identified using MEDLINE, CINAHL, EMBASE, and the Cochrane Library. Included studies focused on patients with HF and reporting on pain. Nine descriptive studies were identified. Five studies focused specifically on patients with HF. The remaining studies examined a population of seriously ill patients including those with HF as an itemized subset. From 23% to 75% of patients with HF reported pain. Factors identified as related to pain include: anxiety, depression, quality of life rated as poor, dyspnea, and more dependencies in activities of daily living.Conclusion People with HF report having pain but as a complex health group, the symptom of pain is not well understood. Pain could be a contributing factor in the breakdown of self-management and the cycle of exacerbations and hospitalization.

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Crossref · 10.1016/j.cardfail.2006.01.006

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  • One overlooked adverse effect of pain is its autonomic response, which can further activate the renin-angiotensin-aldosterone cascade.

    “One overlooked adverse effect of pain is its autonomic response, which can further activate the renin–angiotensin–aldosterone cascade. 87”

    From Prioritizing symptom management in the treatment of chronic heart failure (2020) · cites this paper as [87]

  • Lower levels of pain or good pain control are associated with better medication adherence, improved ability to self-report symptoms and self-care, implying benefits beyond simply improved quality of life.

    “Lower levels of pain or good pain control are associated with better medication adherence, improved ability to self‐report symptoms and self‐care implying benefits beyond simply improved QoL. 87 , 88”

    From Prioritizing symptom management in the treatment of chronic heart failure (2020) · cites this paper as [87]

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Authors
Godfrey, C., Harrison, M. B., Medves, J., & Tranmer, J. E.
Affiliations
Queen's University (CA)
Corresponding author
Godfrey, Christina
ORCID
Venue
Journal of Cardiac Failure
Publisher
Elsevier BV
Published
2006-05
Volume
12
Issue
4
Pages
307-313
ISSN
1071-9164 (ISSN-L)
DOI
10.1016/j.cardfail.2006.01.006
OpenAlex
W2135001405
Cited by
46
References
33
Citations by year
2025: 2 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 1 · 2019: 5 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 3 · 2013: 2
FWCI
0.56
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Cardiac Failure (publishedVersion)
  • PubMed (publishedVersion)
Funders
Agency for Healthcare Research and Quality
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
Keywords
heart failure, pain, symptom burden, heart failure exacerbation, hospitalization, anxiety, depression, quality of life, dyspnea, activities of daily living, self-management
MeSH terms
Heart Failure, Humans, Pain

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