Do Heart Failure Clinics Have to Reinvent Themselves to Remain Germane?

I-13: Complete Fertilization Failure after ICSIWhat to Do?

Fertilization in vivo is a complex process consisting of six steps, namely, penetration of the cumulus complex, binding of the sperm to the zona pellucida, fusion of oocyte and sperm, oocyte activation, sperm remodelling, and formation of the pronuclei. Since ICSI bypasses the first three steps any problem related to fertilization failure after ICSI arises from oocyte activation onwards. Accord...

[Team work, heart failure clinics or specialization in heart failure?].

Measuring quality in heart failure: do we have the metrics?

As we approach the end of the first decade of the 21st century, it is evident that the epidemic of heart failure has not abated, nor have concerns about the quality of care received by patients with this condition. Recent data from the American Heart Association1 and the Centers for Disease Control and Prevention2 reaffirm that the number of patients hospitalized with heart failure has grown st...

Sleep-Disordered Breathing—Do We Have to Change Gears in Heart Failure?

The majority of patients with heart failure have sleep-disordered breathing (SDB)-with central (rather than obstructive) sleep apnoea becoming the predominant form in those with more severe disease. Cyclical apnoeas and hypopnoeas are associated with sleep disturbance, hypoxaemia, haemodynamic changes, and sympathetic activation. Such patients have a worse prognosis than those without SDB. Mask...

What to teach to patients with heart failure and why: the role of nurses in heart failure clinics.

The most important objective of heart failure (HF) treatment is to reach and preserve patients' clinical stability. Several studies have shown that programs aimed at systematic education, developed by multidisciplinary teams, are positive strategies to work with these patients. Nurses active in HF clinics play a fundamental role in the educational process and continuity of patient care. The obj...