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European Heart Journal Advance Access published online on March 17, 2008

European Heart Journal, doi:10.1093/eurheartj/ehn088
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Assessing prognosis in heart failure: you can see a lot if you look, but more if you look again ... ... ...

Iain Squire*

University Hospitals of Leicester, Leicester LE2 7LX, UK

* Corresponding author. Tel: +44 116 252 3125, Fax: +44 116 252 3108, Email: is11@le.ac.uk

This editorial refers to ‘Usefulness of clinical and NT-proBNP Monitoring for prognostic guidance in destabilized heart failure outpatients’ by D.A. Pascual-Figal et al. doi:10.1093/eurheartj/ehn023

The first 10% of the full text of this article appears below.

The management of an individual patient should encompass not only consideration of the diagnosis and appropriate treatment, but also assessment of prognosis. This is particularly so in the case of the patient suffering from a condition which may reasonably be expected to have an impact on life expectancy and on quality of life. Chronic heart failure (CHF) certainly meets these criteria, having an impact on prognosis as severe as that of many of the common malignancies1 and on quality of life as severe as other chronic conditions.

Current national and international guidelines, including those of the European Society of Cardiology,2 recognize that assessment of prognosis should be a part of the standard management of the patient with CHF. However, these same guidelines recognize the inherent difficulty of this process.2 A variety of factors contribute to this difficulty: varying aetiology, frequent co-morbidity, and, perhaps most importantly, huge inter-individual variability . . . [Full Text of this Article]


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Related articles in EHJ:

Usefulness of clinical and NT-proBNP monitoring for prognostic guidance in destabilized heart failure outpatients
Domingo A. Pascual-Figal, Maite Domingo, Teresa Casas, Ignasi Gich, Jordi Ordoñez-Llanos, Pedro Martínez, Juan Cinca, Mariano Valdés, James L. Januzzi, and Antoni Bayes-Genis
EHJ 2008 29: 1011-1018. [Abstract] [Full Text]