We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Medical News & Perspectives |

Researchers Say Efforts Still Fall Short in Improving Heart Failure Outcomes

Mike Mitka
JAMA. 2009;301(22):2317. doi:10.1001/jama.2009.781.
Text Size: A A A
Published online


Orlando, Fla—Heart failure causes about 300 000 deaths annually in the United States, yet progress in treating it remains frustratingly slow, according to researchers speaking at the scientific sessions of the American College of Cardiology (ACC) meeting held here in March.

Although patients admitted with acute heart failure syndromes appear to improve during hospitalization, they have high postdischarge mortality and readmission rates. This situation results, in part, because of underutilization of many effective therapies. About 20% of patients diagnosed as having heart failure die within a year. Among patients older than 65 years, it is the most common diagnosis at hospital discharge and the primary cause of readmission within 60 days of leaving the hospital (Shah SJ and Gheorghiade M. JAMA. 2008;300[4]:431-433). The American Heart Association estimates the direct and indirect cost of heart failure for 2009 at more than $37 billion, with a significant portion reflecting rehospitalization.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption

Graphic Jump LocationImage not available.

Researchers argue that optimizing treatment of heart failure in hospitalized patients will reduce rehospitalization rates.



Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

Care at the Close of Life: Evidence and Experience
Palliative Care for Patients With Heart Failure

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Heart Failure