{"id":1217,"date":"2016-03-18T13:00:36","date_gmt":"2016-03-18T11:00:36","guid":{"rendered":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1217"},"modified":"2016-03-18T13:00:36","modified_gmt":"2016-03-18T11:00:36","slug":"managing-heart-failure-the-key-role-of-the-gp","status":"publish","type":"post","link":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1217","title":{"rendered":"Managing Heart Failure &#8211; The key role of the GP"},"content":{"rendered":"<p><a href=\"http:\/\/www.modernmedia.co.za\/modernmedicine\/DigitalEditions\/mm1603-march-2016\/index.html\" target=\"_blank\">Managing Heart Failure &#8211; The key role of the GP \u2013 MM1603<\/a><\/p>\n<p>HF is a complex syndrome whereby systemic perfusion is insufficient to<br \/>\nmeet the body\u2019s metabolic demands. Although its clinical features are quite<br \/>\nvaried, it is frequently characterised by elevated left ventricular filling pressures,\u00a0inadequate peripheral oxygen delivery and neurohormonal activation. In\u00a0particular, activation of both the renin\u2013angiotensin\u2013aldosterone and sympathetic\u00a0nervous systems leads to fluid retention and adverse pathological axis\u00a0remodelling of the heart.<\/p>\n<p>Management of most patients with heart failure occurs at an outpatient<br \/>\nlevel, with the GP playing a central role in initial diagnosis, counselling, regular<br \/>\nassessment of fluid status, titration and monitoring of medications and end-of life\u00a0care.<\/p>\n<p><em>Modern Medicine \u2013 March\u00a02016<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Managing Heart Failure &#8211; The key role of the GP \u2013 MM1603 HF is a complex syndrome whereby systemic perfusion is insufficient to meet the body\u2019s&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2},"beyondwords_generate_audio":"","beyondwords_project_id":"","beyondwords_content_id":"","beyondwords_preview_token":"","beyondwords_player_content":"","beyondwords_player_style":"","beyondwords_language_code":"","beyondwords_language_id":"","beyondwords_title_voice_id":"","beyondwords_body_voice_id":"","beyondwords_summary_voice_id":"","beyondwords_error_message":"","beyondwords_disabled":"","beyondwords_delete_content":"","beyondwords_podcast_id":"","beyondwords_hash":"","publish_post_to_speechkit":"","speechkit_hash":"","speechkit_generate_audio":"","speechkit_project_id":"","speechkit_podcast_id":"","speechkit_error_message":"","speechkit_disabled":"","speechkit_access_key":"","speechkit_error":"","speechkit_info":"","speechkit_response":"","speechkit_retries":"","speechkit_status":"","speechkit_updated_at":"","_speechkit_link":"","_speechkit_text":""},"categories":[7,153,170],"tags":[],"class_list":["post-1217","post","type-post","status-publish","format-standard","hentry","category-cardiology","category-heart-disease","category-heart-failure"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5REYo-jD","_links":{"self":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1217","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1217"}],"version-history":[{"count":1,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1217\/revisions"}],"predecessor-version":[{"id":1218,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1217\/revisions\/1218"}],"wp:attachment":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1217"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1217"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}