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Heart Failure

 

Heart Failure Core Measures

The following results were reported for patient discharges from April 2012 through March 2013:

1. Percent of heart failure patients given discharge instructions.

 YRMC    Arizona Hospitals   National Average
   100%               92%                            94%

Why this is important
Heart failure is a chronic condition. It results in symptoms such as shortness of breath, dizziness, and fatigue. Before you leave the hospital, the staff should provide you with information to help you manage the symptoms after you get home. This information should include your:

  • Activity level (what you can and can't do)
  • Diet (what you should, and shouldn't eat or drink)
  • Medications
  • Follow-up appointment
  • Watching yourdaily weight
  • What to do if your symptoms get worse

2. Percent of heart failure patients given an evaluation of Left Ventricular Systolic (LVS) function.

 YRMC    Arizona Hospitals   National Average
   98%*                99%                            99%

Why this is important
The proper treatment for heart failure depends on what area of your heart is affected. An important test is to check how your heart is pumping, called an evaluation of the left ventricular systolic function. It can tell your healthcare provider whether the left side of your heat is pumping properly. Other ways to check on how your heart is pumping include:

  • Your medical history
  • A physical examination
  • Listening to your heart sounds
  • Other tests ordered by a doctor such as electrocardiogram, chest x-ray, blood work, and an echocardiogram

3. Percent of heart failure patients given ACE inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD).

YRMC    Arizona Hospitals   National Average
   95%                  97%                           97%

Why this is important
ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are medicines used to treat patients with heart failure. They are particularly beneficial in patients who have heart failure and decreased function of the left side of the heart. Early treatment with ACE inhibitors and ARBs in patients who have heart failure symptoms or decreased heart function after a heart attack can also reduce their risk of death from future heart attacks. ACE inhibitors and ARBs work by limiting the effects of a hormone that narrows blood vessels, and may thus lower blood pressure and reduce the work the heart has to perform. Since these two types of drugs work in different ways, your doctor will decide which drug is most appropriate for you. If you have a heart attack and/or heart failure, you should get a prescription for ACE inhibitors or ARBs if you have decreased heart function before you leave the hospital. 


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