جستجوی مقالات مرتبط با کلیدواژه « Congestive Heart Failure » در نشریات گروه « پزشکی »

The Kansas City Cardiomyopathy Questionnaire (KCCQ) has been developed to measure the health status of Congestive heart failure (CHF) patients. This study aimed to translate KCCQ into a Persian version and assess its validity and reliability. We used a forward-backward procedure to translate the questionnaire. In a cross-sectional study, 150 CHF patients and 50 healthy subjects over 30 years old were selected to assess the reliability and construct validity of the instrument. The face and content validity were used for the questionnaire's validity. The validity was examined on a population of patients with CHF using the Persian version of the Minnesota Living Heart Failure Questionnaire (MLHF) health survey. Calculation of the Intraclass correlation coefficient (ICC) and Cronbach's alpha was done to evaluate the questionnaire's reliability. Test-retest reliability was examined by re-administering the KCCQ after 2 weeks. Test-retest results demonstrated that the Persian version has excellent reliability (ICC for all domains was higher than 0.93, P≤0.000). Internal consistency was found by Cronbach's alpha to be 0.86 for the clinical summary and 0.87 for the overall summary, respectively. Also, the correlation between the components of KCCQ and MLHQ showed satisfactory construct validity. Good Pearson's Correlation Coefficient was seen between KCCQ and MLHF (r= -0.44, P≤0.000 for the clinical summary; r= -0.45, P≤0.000 for the overall summary). Analysing the data from 50 healthy persons and 150 patients were shown that the Persian version of KCCQ has acceptable discriminate validity for all domains except self-efficacy. The Persian version of the KCCQ had satisfactory reliability and validity for assessing health-related quality of life status for Iranian CHF patients.

Congestive heart failure is common in the world, and most patients with this disease have low quality of life. One of the factors affecting the quality of life ismental disorders. Therefore, teaching social problem-solving skills can play an effective role in improving the quality of life (QOL).

This study aimed to investigate the effectiveness of social problem-solving skills on QOL among congestive heart failure patients.

This study was conducted on 20 patients randomly assigned to control (n = 10) and experimental groups (n = 10). The groups consisted of patients with congestive heart failure (left ventricle ejection fraction (LVEF) < 45%). The experimental group received 10 one-hour sessions on social problem-solving skills. The QOL questionnaire (SF-36) was completed before, immediately, and 3 months after the intervention. Data were analyzed using SPSS (version 23) and independent and paired t-tests, as well as an analysis of covariance.

There was a significant difference between the QOL scores in the experimental group compared to the pre-test (P = 0.006) and follow-up (P = 0.035) (pre-test = 51.4 ± 10.5, post-test = 59.8 ± 6.6, follow-up = 55.8 ± 7.1). However, there was no significant change in the QOL scores through different stages in the control group (P > 0.05) (pre-test = 51.2 ± 10.7, post-test = 52.3 ± 10.1, follow-up = 51.3 ± 8.9).

Teaching social problem-solving can be effective in improving the QOL in patients with congestive heart failure.

The COVID-19 pandemic has been unresolved for 3 years. Numerous individuals have survived COVID-19 but suffered from a variety of problems or symptoms for several months. This report presents our experience regarding a post–COVID-19 patient with exacerbated symptoms of congestive heart failure and congestive hepatopathy.

Two months after being diagnosed with COVID-19, a 47-year-old man presented to Universitas Islam Indonesia Hospital with significant shortness of breath and abdominal enlargement. Cardiomegaly, increased jugular venous pressure, hepatomegaly, ascites, and bilateral edema of the legs were all indicators of congestive heart failure. Cardiomegaly was discovered on a chest X-ray. Electrocardiography revealed ischemic heart illness with an old myocardial infarction. Aspartate transaminase (911 U/L), alanine transaminase (820 U/L), and total bilirubin (4-6 mg/dL) were increased. Ultrasonography of the abdomen demonstrated congestive hepatopathy with ascites. Echocardiography showed hypokinetic cardiac wall movements and a 21% decrease in the ejection fraction. He had a comorbidity of uncontrolled diabetes mellitus. The symptoms subsided after therapy with furosemide, spironolactone, dobutamine, nebivolol, sacubitril, valsartan, L-ornithine-L-aspartate, insulin, and a broad spectrum of antibiotics. After 10 days of hospitalization with comprehensive management, the patient’s condition improved.

Our post–COVID-19 patient suffering from congestive heart failure with a poor ejection fraction and severe congestive hepatopathy had an improved outcome following our comprehensive management. (Iranian Heart Journal 2023; 24(3): 100-107)

Congestive heart failure is a progressive and debilitating chronic disorder. Discharge is a period of transfer from hospital to home that the responsibility of care providers when hospitalized is transferred to the patient and the primary care physician and may lead to new problems for the patient and family.

This study aimed to investigate the effect of using the ideal discharge model on drug adherence in congestive heart failure patients hospitalized in intensive care units.

This is randomized controlled study. Sixty patients with congestive heart failure, admitted to the intensive care units of selected Aja military hospitals in Tehran in 2020 were included in the study by convenience sampling method. Patients were randomly divided into experimental and control groups (30 patients in each group) and the control group received only routine care. The study was performed in two stages before and after the intervention. To collect data, demographic information form, Morisky Medication Adherence Scale (MMAS-8) in drug adherence was used. Data were analyzed using SPSS-21 software and using descriptive analysis, independent t-test, Pearson correlation, Fisher’s exact test, and Chi-square tests (P<0.05).

There was no significant difference between the two groups of drug adherence before the intervention (P=0.722). However, there was a significant difference between the two groups of drug adherence after the intervention (P=0.005).

Applying the ideal discharge model increases the patient’s participation in the treatment process and drug adherence in congestive heart failure patients hospitalized in intensive care units.

Kawasaki disease is an acute inflammatory disorder of medium-sized arteries that predominantly affects cardiac coronary arteries and children under the age of 5 years. Cardiac involvement usually happens later than 10 days after the onset of illness. Most of cardiac complications are coronary artery abnormalities (ectasia or aneurysms) and subclinical myocarditis. Clinical myocarditis (symptomatic congestive heart failure), pericarditis, valvulitis and pericardial effusion, as well as pancarditis are rare. This paper reports a 5-year-old boy who had heart failure (ejection fraction 48%) in the acute stage of Kawasaki disease and pericarditis. He was admitted to the hospital following 3 days of continuous fever, bilateral cervical adenopathy and dominant right side neck of torticollis. The results of physical examination after 5 days showed typical Kawasaki disease. Cardiac examination also revealed cardiac murmur and gallop rhythm. In laboratory tests, mild liver dysfunction, hypoproteinemia and hyponatremia were discovered. During hospitalization, troponin levels were positive. The patient was treated with oral high dose aspirin (100 mg/kg/d), two doses of intravenous immunoglobulin (IVIG 2 gm/kg) and three pulses of methylprednisolone. Two weeks later, cardiac evolvements were improved without further complications. The patient exhibited dramatically clinical recovery and was healthy after 8 weeks of follow-up. This case indicates that Lymph-node-first presentation of Kawasaki disease could be examined in children with Kawasaki disease who exhibit symptoms of congestive cardiac failure, pericardial effusion and pericarditis during the acute phase of the disease.

Congestive heart failure is heart muscle failure that causes pulmonary congestion and eventually pulmonary edema, which despite recent medical advances, is still a progressive syndrome with high mortality, the prevalence of which has increased in recent decades. Therefore, in this study we compared lung ultrasound findings in acute heart failure patients with the BNP.

This study was performed in the emergency room of Imam Reza hospital in Tabriz. For patients entering the emergency room after taking a history, both standard gold (BNP) tests and beside ultrasound of the lung were performed. Ultrasound was performed at the same time as obtaining blood sample to ensure that the ultrasound specialist did not know the result of diagnosis. During the ultrasound, if there were multiple B-Lines that were at least 3 mm apart, patient was diagnosed with pulmonary edema due to heart failure.

Number of participants in this study was 108 people, 54.6% of whom were men and the rest were women. The correlation coefficient between width and number of kerley lines was 0.79, between NT-pro BNP and width of kerley lines was 0.65 and between NT-pro BNP and number of kerley lines was 0.77, which indicates a significant positive correlation (P value <0.001).

The results of present study showed that in patients with acute heart failure, the number and width of kerley lines in pulmonary ultrasound evaluation increase rapidly. There is also a high correlation between number and length of kerley lines with NT-pro BNP serum values.

Hypoglycemia and hypoglycemic unawareness is usually a complication of tight glycemic control in insulin-dependent diabetes mellitus. To our knowledge, this is the first case report of hypoglycemic unawareness subsequent to cardiac failure induced hypoglycemia of prolonged duration. Through this case report, we aimed to highlight that hypoglycemia should be suspected as a cause of decreased level of consciousness in patients suffering from recurrent congestive cardiac failure , as it can be easily overlooked and the condition can easily be reversed by simply administering adequate glucose.

Infective endocarditis (IE) is a microbial infection of the endothelial surface of the cardiacvalves. Rapid diagnosis, effective treatment and prompt recognition of complications are essential, in order to improve the outcome. We retrospectively reviewed and determined the clinical characteristics, microbiological profile and management strategies of IE cases, changing microbial spectrum of pathogens and outcome in Native Valve Endocarditis (NVE) and Prosthetic Valve Endocarditis (PVE) cases.
We retrospectively reviewed the medical records of 191 patients, clinically diagnosed with IE, based on modified Dukes criteria, from January 2011 to December 2016. Blood cultures received from all these patients were processed, using BacT/Alert system (bioMerieux, Marcy lEtoile, France).
Sixty eight (68/191) cases were positive for bacterial pathogens. Twenty four (24/191) cases had PVE and 167/191 had NVE. Nineteen cases (19/24, 79.1%) were PVE positive and forty nine (49/167, 29.3%) were NVE positive. Culture negative endocarditis cases were 123/191 (64.39%). The most common pathogen isolated from NVE cases, in our study was Streptococcus mitis, followed by methicillin-resistant coagulase negative staphylococcus (MRCONS) in PVE. The NVE were treated intravenously with a combination of a β-lactam or glycopeptide with an aminoglycoside, for prolonged period of 4-6 weeks, with a successful outcome. The PVE cases were treated with the appropriate antibiotics as per the antibiotic susceptibility report.
The high morbidity and mortality rates are associated with IE and hence accurate identification of aetiological agents and appropriate antimicrobial therapy is required.

The current study aimed at considering the performance, attitude and awareness level of patients affected by congestive heart failure who were hospitalized in Zahedan hospitals with regard to the self-care behaviors and factors related to it.
This was a cross-sectional study conducted on 140 patients with congestive heart failure who were hospitalized in various hospitals during 2015. The required data was collected through interview and a designed questionnaire. In order to analyze the data, SPSS Software, version 15, was used through chi-square test, t-test, and ANOVA test.
Findings: There was a direct correlation between patients’ awareness level and attitude (p˂ 0.001 and r=0.459), and behavior (p˂ 0.001 and r=0.345). In addition, a direct correlation was observed between patients’ attitude and their behavior (p= 0.003 and r=0.452). However, there was a reverse correlation between patients’ age and their awareness level (p= 0.003 and r= -0.253), and their attitude (p˂ 0.03 and r= -0.181). By performing an ANOVA test, it was revealed that there was a statistically significant relationship between educational level and awareness (p= 0.001), and patients’ attitude (p= 0.006). The average number of hospitalization was 3.31%, the most important reasons for hospitalization was shortness of breath (dyspnea) (74%), and the most prevalent background diseases was hypertension (74.3%).
It is necessary to pay enough attention to patients’ needs in this regard, and provide suitable educational programs which improve the patients’ awareness level and positive attitude; finally, these programs can promote self-care behaviors in patients.

The term phantom tumor may be used to describe a well-demarcated opacity resulted from pleural effusion. Phantom tumors are commonly associated with congestive heart failure causing transudative pleural effusion within pulmonary fissures. The figure may bring about inaccurate invasive diagnostic interventions. We report a heavy smoker patient with multiple phantom tumors in the right lung resolved with medical management. This case report provides records for a timely management of similar patients.

Congestive heart failure is one of the most common cardiovascular diseases that have a progressive and chronic trend and influences individuals’ and their families’ various dimensions. Social support is one of the psychosocial factors that can have a positive effect on individuals’ physical, mental and social status. Despite the existence of evidences, revealing the importance of family’s support on patients’ condition, family centered supportive interventions with goal of clinical outcomes improvement have been less conducted among these patients. Therefore, the present study aimed to investigate the effect of family supportive intervention on the level of the support, received among heart failure patients.

This is a two‑group two‑stage clinical trial, conducted on 64 patients with cardiac failure, referring to selected educational centers and meeting the inclusion criteria, who were selected through convenient sampling. They were assigned to study (n = 32) and control (n = 32) groups through random allocation. Data were collected by questioning through a two‑section medical records questionnaire and were analyzed by SPSS.

Results of the study showed that mean scores of received support score were 13.7 (3.8) in the study and 0.8 (2.4) in the control group. Independent t‑test showed a significant difference in mean changes of perceived support scores after the intervention between study and control groups (P < 0.001).

Based on familial dimension in social support have a positive effect on patients’ perceived support. Nurses, as professional members of health care team, and with an important role in education and care of cardiac failure patients, can support, educate and guide these patients through designing appropriate care plans and educating their family members.

Heart failure is one of the most important and prevalent diseases that may have negative effects on the quality of life (QOL). Today, the promotion of QOL in patients with heart failure is important in nursing care programs. This research aimed to determine the efficacy of hope‑promoting interventions based on religious beliefs on the QOL of patients with congestive heart failure (CHF).
In this randomized clinical trial (IRCT2014100619413N1) conducted in Isfahan, Iran, 46 adult patients with CHF were selected and randomly assigned to study and control groups. Ferrans and Powers Quality of Life Index (QLI) was completed by both groups before, immediately after, and 1 month after the intervention. For the study group participants and their families, 60‑min sessions of hope‑promoting interventions based on religious beliefs were held twice a week for 3 weeks. Independent t, repeated measures analysis of variance (ANOVA), Chi‑square, Mann–Whitney, and Fisher’s exact tests were adopted for data analysis.
The mean (standard deviation) overall QOL score in the area of satisfaction significantly increased in the study group, compared to the controls, immediately [70.7 (8.5) vs. 59.2 (12.5)] and 1 month after the intervention [75.2 (7.4) vs. 59.4 (12.9)] (P Hope‑promoting intervention based on religious beliefs is a useful method for improving QOL in patients with CHF.

Congestive heart failure (CHF) has become one of the most important health care problems in western countries. This article focuses on the outpatient diagnosis and management of heart failure. We want to compare the outcome of patients who were treated with high dose diuretics in the emergency department (ED) without admission with patients who were admitted to hospital for standard treatment. This was a randomized prospective clinical trial study. The patients who came to the ED from March 20, 2008 up to August 20, 2008 were divided into two groups randomly. The length of ED stay in the experimental group was documented. Also, readmission and mortality in 6 months and satisfaction in both groups were taken into consideration. All data were analyzed using SPSS 15.0. In experimental group, the rate of recurrent admission, expiration, discharge, clinic visit, and clinic admission was 8%, 4%, 29%, 18%, and 0% respectively. On the other hand, in control group it was 16%, 40%, 18%, 22%, and 2% respectively. Additionally, there was a significant difference between these groups (P = 0.00). This study is the first regional prospective trial to comprehensively examine the therapeutic management in patients with CHF. This study, comparing the high dose diuretic efficacy in the decreasing of hospital stay and readmission; and decreasing mortality rate with routine therapy, showed that there was a significant difference between these two strategies in the mortality rate, readmission, and length of hospital stay (P = 0.00).