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Exploring Symptoms in Chronic Heart Failure
Abstract
Symptoms in patients with chronic heart failure (CHF) are the cry for help, reflecting not only the physical aspects of the disease but the impact on lifestyle, anxiety, depression and expectations of the patient. Studies consistently show a difference in patients' self-assessed functional classification compared to investigator reported NYHA classification. Moreover, patient self-assessed symptoms have recently been shown to independently predict hospitalisation and mortality over 5 years. Recognition of symptoms and appreciation of their importance justifies the use of a structured assessment in order to provide optimal medical care for patients with CHF. A model of how to structure symptom assessment equally with signs is presented in this paper.
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“However, fatigue could also be due to sleep disturbance due to anxiety, pain, orthopnoea, or paroxysmal nocturnal dyspnoea. 1 , 10 , 45”
From Prioritizing symptom management in the treatment of chronic heart failure (2020) · cites this paper as [45]
In the citing paper
“Similar to fatigue, dyspnoea is often underappreciated and seen as a by‐product of ageing and reduced fitness. 45”
From Prioritizing symptom management in the treatment of chronic heart failure (2020) · cites this paper as [45]
In the citing paper
“It is often frightening and has a psychological impact. 10 , 45 , 52 , 53”
From Prioritizing symptom management in the treatment of chronic heart failure (2020) · cites this paper as [45]
In the citing paper
“Dyspnoea is thought to be due to a combination of factors including diaphragmatic or skeletal muscle weakness, deconditioning, obesity, anaemia, pulmonary oedema, or lung stiffness due to elevated left ventricular pressure. 10 , 45 , 50”
From Prioritizing symptom management in the treatment of chronic heart failure (2020) · cites this paper as [45]
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Metadata
- Authors
- Ekman, I., Cleland, J. G. F., Andersson, B., & Swedberg, K.
- Affiliations
- University of Gothenburg (SE)
- University of Hull (GB)
- Sahlgrenska University Hospital (SE)
- Corresponding author
- Ekman, Inger
- Venue
- European Journal of Heart Failure
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-08-01
- Volume
- 7
- Issue
- 5
- Pages
- 699-703
- ISSN
- 1388-9842 (ISSN-L)
- 1879-0844
- OpenAlex
- W2023732292
- Cited by
- 135
- References
- 33
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 7 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 1 · 2018: 2 · 2017: 6 · 2016: 11 · 2015: 7 · 2014: 3 · 2013: 7 · 2012: 15
- FWCI
- 8.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Heart Failure (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Keywords
- chronic heart failure, clinical symptoms, symptom assessment, NYHA functional class, patient expectations, anxiety, depression, hospitalization, mortality
- MeSH terms
- Dyspnea, Heart Failure, Humans, Patient Compliance
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