Self‐care management of heart failure: practical recommendations from the Patient Care Committee of the Heart Failure Association of the European Society of Cardiology

Guidelines on heart failure (HF) stress the importance of lifestyle advice, although there is little evidence that such recommendations improve symptoms or prognosis. Patients experience symptoms of different intensities which impair their daily activities and reduce the quality-of-life. To cope with their clinical condition, many patients seek advice about lifestyle and self-management strategies when in contact with medical care providers, particularly specialized HF services. Self-care management is an important part of HF treatment, thus health professionals working with patients with HF have recognized the need for more specific recommendations on lifestyle advice. The present paper summarizes the available evidence, promotes self-care management, and aims to provide practical advice for health professionals delivering care to HF patients. It also defines avenues of research to optimize self-care strategies in a number of key areas to derive further benefits. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in EUROPEAN JOURNAL OF HEART FAILURE following peer review. The definitive publisher-authenticated version is:Mitja Lainscak, Lynda Blue, Andrew L Clark, Ulf Dahlström, Kenneth Dickstein, Inger Ekman, Theresa McDonagh, John J McMurray, Mary Ryder, Simon Stewart, Anna Strömberg and Tiny Jaarsma, Self-care management of heart failure: practical recommendations from the Patient Care Committee of the Heart Failure Association of the European Society of Cardiology, 2011, EUROPEAN JOURNAL OF HEART FAILURE, (13), 2, 115-126.http://dx.doi.org/10.1093/eurjhf/hfq219