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7.1.1. Nonpharmacological Interventions: Self-Care Support
in HF
COR LOE
Recommendations
1 A 1. Patients with HF should receive care from multidisciplinary
teams to facilitate the implementation of GDMT, address
potential barriers to self-care, reduce the risk of subsequent
rehospitalization for HF, and improve survival.
1 B-R 2. Patients with HF should receive specific education and
support to facilitate HF self-care in a multidisciplinary
manner.
2a B-NR 3. In patients with HF, vaccinating against respiratory illnesses is
reasonable to reduce mortality.
2a B-NR 4. In adults with HF, screening for depression, social isolation,
frailty, and low health literacy as risk factors for poor self-care
is reasonable to improve management.
7. Stage "C" HF
7.1.2. Dietary Sodium Restriction
COR LOE
Recommendation
2a C-LD 1. For patients with stage C HF, avoiding excessive sodium
intake is reasonable to reduce congestive symptoms.
7.1.3. Management of Stage C HF: Activity, Exercise
Prescription, and Cardiac Rehabilitation
COR LOE
Recommendations
1 A 1. For patients with HF who are able to participate, exercise
training (or regular physical activity) is recommended to
improve functional status, exercise performance, and QOL.
2a B-NR 2. In patients with HF, a cardiac rehabilitation program can be
useful to improve functional capacity, exercise tolerance, and
health-related QOL.
