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June 6, 2013ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam)
2013 ACCF/AHA Guideline for the Management of Heart Failure
Clyde W. YancyMariell JessupBiykem BozkurtJaved ButlerDonald E. CaseyMark H. DraznerGregg C. FonarowStephen A. GeraciTamara B. HorwichJames L. JanuzziMaryl R. JohnsonEdward K. KasperWayne C. LevyFrederick A. MasoudiPatrick E. McBrideJohn J.V. McMurrayJudith E. MitchellPamela N. PetersonBárbara RiegelFlora SamLynne W. StevensonW.H. Wilson TangEmily J. TsaiBruce L. Wilkoff
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“For many years, we've functioned in a space where we thought there's not that much we can do for heart failure, and I would now argue stridently against that. You can see the incredibly low numbers needed to treat here. Only a handful of patients need to be exposed to these therapies to derive a significant benefit on mortality. These are data we should incorporate in our clinical practice without exclusion.”
“Amongst the many treatment recommendations in this guideline addressing care, the unambiguous nature of 'GDMT' emphasizes what works best and should be widely deployed.”
“From epidemiology through clinical presentation and therapeutics, medical and surgical, we have exercised every opportunity to make specific mention of issues related to HFpEF.”
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Yancy et al. (2013) studied this question.