Why the study?
How should acute and chronic noncardiac pain be managed in patients with heart failure?
How should acute and chronic noncardiac pain be managed in patients with heart failure?
Traditional pain management algorithms require modification in heart failure patients due to the contraindication of NSAIDs and corticosteroids.
May warrant avoiding NSAIDs in HF pain management; leaves open optimal alternatives for prospective trials.
Both acute and chronic pain are common coexisting problems in patients with heart failure. Because nonsteroidal anti-inflammatory drugs and corticosteroids are contraindicated in heart failure, traditional pain management algorithms require modification. This article reviews pertinent pain management principles, including pain vocabulary, barriers to pain management, and general pain assessment and treatment measures. Issues unique to the heart failure patient are discussed and specific interventions for the heart failure patient with acute or chronic pain are then delineated.
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Wheeler et al. (2004) studied this question.
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