In patients with pain syndromes, distraction, relaxation and education about the symptom have been shown to modify the intensity of the symptom, increase tolerance and decrease distress. Relaxation training may improve symptoms in the short term. Monitoring symptoms helps patients and physicians understand the patterns of symptom intensity. Other treatments reviewed in the statement include oxygen therapy, supplemental oxygen during exercise, vibration, ventilator settings, surgical volume reduction, desensitization, inspiratory muscle training and education. Sharon Scott Morey A group of more than 150 cardiologists has issued recommendations for the treatment of chronic heart failure.
Combination therapy is considered to be the optimal approach for most patients with heart failure.
The following information is excerpted from six tables that provide summaries of recommendations in the report. Close follow-up is advised to detect early evidence of clinical deterioration. In addition, influenza and pneumococcal immunizations are recommended. The recommendations state that diuretics should be prescribed for all patients with symptoms of heart failure and evidence of a predisposition to fluid retention. Diuretics are the only reliable means of controlling fluid retention associated with heart failure.