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Heart 2007;93:392-402; doi:10.1136/hrt.2005.078543
Copyright © 2007 BMJ Publishing Group Ltd & British Cardiovascular Society

EDUCATION IN HEART

Heart failure

Surgery for heart failure

Stephen Large

Correspondence to:
Correspondence to:
Stephen Large
Papworth Hospital, Papworth Everard, Cambridgeshire, CB3 8RE UK; stephen.large@papworth.nhs.uk

Keywords: heart failure; surgery

The first 150 words of the full text of this article appear below.

The failing heart creates a huge health care problem. It is common and becomes more so with age. Recognising our aging population, it is understandable that the prevalence of heart failure is increasing1 in the UK and is the most common diagnostic related group at hospital discharge. It is the primary or secondary diagnosis in about 1% of the population and consumes a similar proportion of the country’s gross domestic product every year. So how do we recognise this monster? The 2005 American College of Cardiology/American Heart Association (ACC/AHA) guideline update for the diagnosis and management of chronic heart failure in the adult2 defines heart failure as: "a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with or eject blood".


CLASSIFICATION OF HEART FAILURE

It is a progressive disorder and to capture this the ACC/AHA has proposed a . . . [Full text of this article]


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