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Congestive Heart Failure

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Heart failure

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Congestive heart failure is a condition in which the heart cannot provide enough cardiac output for the metabolic demands of the body. The prevalence of heart failure has been estimated at 2% and is expected to grow due to improved survival of people with cardiac conditions (Mann 2008). The lifetime risk of developing heart failure has been estimated at 20%. Coronary artery disease is the most frequent cause of heart failure (60–75%) (Lloyd-Jones et al. 2002). Etiologies for heart failure aside from coronary artery disease include viral inflammation of the heart, also known as myocarditis; alcohol toxicity; or genetic mutations.

One way to classify heart failure is according to left ventricular ejection fraction, a measure of contractile function. “Systolic heart failure” is defined by the presence of reduced left ventricular ejection fraction, usually <40%. About half of patients with heart failure may still have preserved left ventricular ejection...

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References and Further Reading

  • Lloyd-Jones, D. M., Larson, M. G., Leip, E. P., Beiser, A., D’Agostino, R. B., Kannel, W. B., et al. (2002). Lifetime risk for developing congestive heart failure: The Framingham heart study. Circulation, 106(24), 3068–3072.

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  • Maeder, M. T., & Kaye, D. M. (2009). Heart failure with normal left ventricular ejection fraction. Journal of the American College of Cardiology, 53(11), 905–918.

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  • Mann, D. L. (2008). Chapter 227: Heart failure and cor pulmonale. In A. S. Fauci, E. Braunwald, D. L. Kasper, S. L. Hauser, D. L. Longo, J. L. Jameson, & J. Loscalzo (Eds.), Harrison’s principles of internal medicine (Vol. 17e). New York: McGraw-Hill.

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  • O’Connor, C. M., Whellan, D. J., Lee, K. L., Keteyian, S. J., Cooper, L. S., Ellis, S. J., et al. (2009). Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. Journal of the American Medical Association, 301(14), 1439–1450.

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  • Rutledge, T., Reis, V. A., Linke, S. E., Greenberg, B. H., & Mills, P. J. (2006). Depression in heart failure a meta-analytic review of prevalence, intervention effects, and associations with clinical outcomes. Journal of the American College of Cardiology, 48(8), 1527–1537.

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Correspondence to William Whang .

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Whang, W. (2019). Congestive Heart Failure. In: Gellman, M. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6439-6_1255-2

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  • DOI: https://doi.org/10.1007/978-1-4614-6439-6_1255-2

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6439-6

  • Online ISBN: 978-1-4614-6439-6

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