© 2005 by BMJ Publishing Group & British Cardiac Society
Introduction
From CCU to CHF: bridging the treatment gap
National Heart and Lung Institute, Imperial College, and Royal Brompton Hospital, London, UK; m.cowie@imperial.ac.uk
Keywords: heart failure; myocardial infarction
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Major changes in treatment have resulted from an improved understanding of the pathophysiology of heart failure and from the results of large clinical trials. Furthermore, with the publication of evidence based management guidelines, much needed attention has been focused on the care of the chronic phase of the syndrome. But we are still far from having "solved" heart failure. Patients with heart failure often require hospitalisation to re-establish control of the syndrome; heart failure admissions account for around 5% of emergency medical admissions in the UK, and chronic disease management continues to be a major challenge.
Around half of all new cases of
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