The American Journal of Medicine
Volume 122, Issue 11 , Pages 1029-1036 , November 2009

Recommendation of Low-Salt Diet and Short-term Outcomes in Heart Failure with Preserved Systolic Function

  • Scott L. Hummel, MD, MS

      Affiliations

    • Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich
    • Corresponding Author InformationRequests for reprints should be addressed to Scott L. Hummel, MD, MS, Division of Cardiovascular Medicine, University of Michigan Department of Internal Medicine, 1500 East Medical Center Drive, SPC 5853, Ann Arbor, MI 48109
    • ,
  • Anthony C. DeFranco, MD

      Affiliations

    • St. Luke's Medical Center, Milwaukee, Wis
    • ,
  • Stephen Skorcz, MPH

      Affiliations

    • Greater Flint Health Coalition, Flint, Mich
    • ,
  • Cecelia K. Montoye, MSN

      Affiliations

    • St. Joseph's Mercy Hospital, Ann Arbor, Mich
    • ,
  • Todd M. Koelling, MD

      Affiliations

    • Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich

  • Image Result

    Patient selection for analyses. GAP-HF=Mid-Michigan Guidelines Applied in Practice - Heart Failure study; LVEF=left ventricular ejection fraction; d/c cohort=discharge recommendation comparison cohort

    Patient selection for analyses. GAP-HF=Mid-Michigan Guidelines Applied in Practice - Heart Failure study; LVEF=left ventricular ejection fraction; d/c cohort=discharge recommendation comparison cohort; f/u cohort=prespecified follow-up cohort.

  • Image Result
    Comparison of ACC/AHA (American College of Cardiology/American Heart Association) discharge recommendation documentation by heart failure type. Med List=written medication list; Daily Wt=daily weights

    Comparison of ACC/AHA (American College of Cardiology/American Heart Association) discharge recommendation documentation by heart failure type. Med List=written medication list; Daily Wt=daily weights; Plan/Worse=plan if symptoms worsened; All 6=all 6 standard ACC/AHA discharge recommendations; SRD=sodium-restricted diet; All 7=all standard ACA/AHA discharge recommendations plus sodium-restricted diet.

    *Denotes significant (P <.02) intergroup difference.

 Funding: Greater Flint Health Coalition, AstraZeneca Pharmaceuticals, Pfizer, Inc., GlaxoSmithKline, Blue Cross Blue Shield of Michigan Foundation (all unrestricted grants). Dr. Hummel is supported by a National Institutes of Health T-32 research training grant, 5T32HL007853-10.

 Conflict of Interest: Dr. DeFranco has previously served as a consultant to AstraZeneca Pharmaceuticals and Pfizer, Inc. There are no other conflicts of interest to report.

 Authorship: All authors had access to the data and contributed significantly to the final manuscript.

PII: S0002-9343(09)00598-1

doi: 10.1016/j.amjmed.2009.04.025

The American Journal of Medicine
Volume 122, Issue 11 , Pages 1029-1036 , November 2009

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