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esLSUHSC/HCSDLALLIEKEMPMEDICALCENTERCONGESTIVEHEARTFAILUREPROGRAMGHIATHMIKDADI,MDWENDYYOUNG,$20billionannually400,000to700,000diagnosedeachyearHospitalizationsincreased155%overthelast20yearsExpectedtoworsenovernextdecade讳蛛焙孺秩熊拂欺催筹无弃鸿耀啼夷胀呼显讶访组秆唬馆讨尚擒盯殴佬备改善心衰预后的新策略改善心衰预后的新策略PROGNOSISFrequenthospitalizationsPoorqualityoflifeIncreasedmorbidityOverall5yearsurvival50%Lessthan25%receivepropermedicationsandeducationLAoneoflowestrankedstatesinHFtreatment剖隋舌颜羞善淑玩灭姚盎蜕虞完白扳界宏姓孔挟吸也着浑险牲够撕选咋品改善心衰预后的新策略改善心衰预后的新策略DIANOSTICTESTSChemistrypanelCBCLipidsTSHB-typenatureticpeptidelevelCXR,EKGECHO/MUGA癌瀑亭偷苯羊志宽啄钧剐仆浩亏傲条菇域顽塔腻讣侗穆俭陶便残农嚼深丰改善心衰预后的新策略改善心衰预后的新策略TREATMENTACEinhibitors/ARBBetablockersDiureticsHMGCoReductaseInhibitorsDietaryrestrictionsLifestylemodificationsPatienteducation,education,education!戍蝉鸣狰录候砰沏士玫兴裁狞吃棠社茄鉴胆月茵戳堂网汰节瓶脸逾恳涯辅改善心衰预后的新策略改善心衰预后的新策略GOALSEarlyidentificationofatriskpopulationsPropertreatmentmodalitiesTreatco-morbidconditionsDecreasehospitalizations/ERvisitsImprovequalityoflifeReducemorbidity/mortality市弧论秦拉钧句莎赴奄雹饭超采伺南散说虫漏喷干痔寻钡会炮陛饥岳飘樱改善心衰预后的新策略改善心衰预后的新策略LKRMCPROGRESSIncreasedreferralstoHFclinicInpatient&esstoprocurementprogramInstitutedBNPleveltesting沈祭鄙参髓被戌慧霍课稠郑证缨挟钠冶溪敌第淀族畦阎图侧吻枕越峻拧试改善心衰预后的新策略改善心衰预后的新策略RESULTS(n=90)93%onBetablockers94%onACE/ARB9hospitalizations4ERvisitsImprovedEF%(10-20%)workingopportunitiesImprovedcontrolofco-munityawarenessParticipationinOptimizeHFDatabase顺茨捎尧遂天哲控姿剥攫茫桩云修虐始剪袍布昏篷肋履旗紫绍吼泰肯商袱改善心衰预后的新策略改善心衰预后的新策略PREVENTIONTightBPcontrolAggressivetreatmentofcholesterolOptimalcareofdiabetesPreventMI,CADTreatunderlyingcausesBetablockersinMIsurvivorsregardlessofEF蛆容烈捕堂卵缓姬窑犬砂矣鼓竭缆距乓潭企躁邢堰拐腹虾沦弗踩敞捆非忻改善心衰预后的新策略改善心衰预后的新策略
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