The Importance of Heart Rate in Heart Failure and Reduced Ejection Fraction.

CONCLUSIONS: In patients with HFrEF, an elevated heart rate contributes to HF progression, and it is both a prognostic and modifiable risk factor. Medications such as an evidence-based β-blockers, digoxin, and ivabradine are recommended for modulation of heart rate in patients with HFrEF. CLINICAL IMPLICATIONS: Nurses play a pivotal role in managing HFrEF and must understand current evidence of the pathophysiology of elevated heart rate, risks, and management strategies. Early recognition of elevated heart rate and application of guideline-directed pharmacologic treatment for patients with HFrEF and an elevated heart rate remains key to improving patient outcomes. PMID: 29621054 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - Category: Nursing Authors: Tags: J Cardiovasc Nurs Source Type: research