BACKGROUND Chronic heart failure requires a complex treatment regimen on a life-long basis. Therefore, self-care/self-management is an essential part of successful treatment and comprehensive patient education is warranted. However, specific information on program features and educational strategies enhancing treatment success is lacking. This trial aims to evaluate a patient-oriented and theor...

OBJECTIVE This study examined the effect of parity on blood pressure (BP) readings and BMI among rural West African Dogon women. DESIGN Correlational research design. SETTING Sangha, West Africa PARTICIPANTS 133 West African Dogon Women METHODS Demographic survey including age, number of children, history of hypertension, and village affiliation. BP readings were taken in accordance wit...

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . doi:10.1093/eurheartj/eht348 Online publish-ahead-o...

T he SYMPLICITY HTN-3 (Renal Denervation in Patients With Uncontrolled Hypertension) study was a randomized, sham-controlled clinical study of the blood pressure (BP)-lowering effects of renal sympathetic denervation (RDN), which included ambulatory BPmeasurements (ABPM) as part of the inclusion criteria and as a secondary endpoint. The primary results of the study failed to show a larger reduc...

Physiological principles that directly apply to physical diagnosis provide opportune occasions to bring basic science to the bedside. In this article, we describe the effect of cardiac maneuvers on systolic murmurs and how physiological principles apply to the explanation of the changes noted at the bedside. We discuss the effect of Valsalva, squatting, and hand grip maneuvers on different phys...

Objective: To test the hypothesis that, when measured in the long axis, left ventricular systolic function is abnormal in patients with diastolic heart failure. Design: A case–control study. Setting: University teaching hospital (tertiary referral centre). Patients: 68 patients with heart failure, 29 with a left ventricular ejection fraction (LVEF) of > 0.45 and diastolic dysfunction (diastolic...