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Research draft

heart failure

vr.tr.heart-failure · INF.KNW

Let an agent explain heart failure and its types, relay causes, diagnosis and treatment from cardiology guidelines in general terms, route people with symptoms or a diagnosis to clinicians and emergency services, and distinguish heart failure from heart attack, cardiac arrest and other causes of breathlessness.

Thing Registry Information and virtual systems

Research draft, second pass

A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.

written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify

Researched by: Claude

Purpose and description

Let an agent explain heart failure and its types, relay causes, diagnosis and treatment from cardiology guidelines in general terms, route people with symptoms or a diagnosis to clinicians and emergency services, and distinguish heart failure from heart attack, cardiac arrest and other causes of breathlessness.

A clinical syndrome in which the heart cannot pump enough blood to meet the body s needs, causing breathlessness, fatigue and fluid retention, classified by ejection fraction as reduced, mildly reduced or preserved, by side as left or right-sided, and by course as chronic or acute decompensated, with diastolic dysfunction a key mechanism in preserved-fraction disease; heart failure is common in older adults and is managed with medicines, devices and lifestyle measures, and worsening symptoms need urgent medical attention.

What it is for: Not applicable; a disease.

It can be route emergencies first; explain types and mechanisms; relay diagnosis and treatment; distinguish related conditions.

Distinguishing features

Pump failure syndrome

Ejection fraction classes

Fluid retention

Chronic with acute episodes

What it looks like

Not a visible object; a syndrome with breathlessness and swelling.

Physical character

prevalence, adults: about 1-2 percent - higher with age

people affected worldwide: about 64 million - estimates

ejection fraction cutoffs: below 40, 41-49, 50 and above percent - HFrEF, HFmrEF, HFpEF

How it is recognised

Heart unable to meet the body s needs

Reduced, mildly reduced and preserved ejection fraction; left and right-sided; chronic and acute decompensated

A heart attack is blocked blood supply; cardiac arrest is the heart stopping

Related models

is a kind of - in registry terms

cardiovascular disease

is a kind of - in registry terms, as a syndrome

clinical sign

is a kind of - in registry terms

cardiovascular system symptom

is contrasted with - a heart attack

myocardial infarction

In practice

Families and kinds

heart failure with reduced ejection fraction

heart failure with mildly reduced ejection fraction

heart failure with preserved ejection fraction and diastolic dysfunction

left-sided and right-sided heart failure

chronic heart failure

acute decompensated heart failure

Identifiers

ICD-10 I50 heart failure

MeSH D006333 Heart Failure

Standards and regulation

ESC and AHA/ACC heart failure guidelines

Drug and device approvals

Quality measures for heart failure care

Failure modes and hazards

Delayed care in acute decompensation

Agents giving personal medical advice instead of routing to clinicians

Stale treatment information

Also called

right-sided heart failurechronic heart failureheart failure with mildly reduced ejection fractionchronic cardiac insufficiencyDiastolic functionacute decompensated heart failureventricular dysfunctionheart failure with reduced ejection fractionhigh output cardiac failureright ventricular dysfunction

Where this came from

wikidata · CC0 1.0

Also registered as vr.tr.heart-failure

Drafted structure

Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.

Emergency Worsening symptoms.

Clinical.

Act

Act now.

Act

Act.

  1. Does the user describe severe breathlessness, chest pain, fainting or rapid swelling that need emergency care immediately? boundary
  2. Has the agent directed the user to emergency services or their clinician before anything else? action

Signs

Warning signs.

Signs

Signs.

  1. What warning signs of decompensation do guidelines list? definition
  2. Which entry fits emergency medical services? action
Understand What heart failure is.

Clinical.

Definition

Definition and types.

Definition

Definition.

  1. What is heart failure, and how do the ejection fraction, side and course classifications differ? definition
  2. Is the question about the disease in general or a personal case needing a clinician? boundary

Causes

Causes and mechanisms.

Causes

Causes.

  1. What causes heart failure, and what is diastolic dysfunction? provenance
  2. Which entry fits the specific cause? action
Care Diagnosis and treatment.

Clinical.

Diagnosis

Diagnosis.

Diagnosis

Diagnosis.

  1. How is heart failure diagnosed with natriuretic peptides, echocardiography and other tests, in general terms? provenance
  2. Which references are standard? provenance

Treatment

Treatment.

Treatment

Treatment.

  1. What treatments do guidelines recommend, from medicines to devices and rehabilitation? provenance
  2. Which sources are cited? provenance
Live Living with heart failure.

Application.

Self-care

Self-care.

Self-care

Self-care.

  1. What self-care do guidelines advise, such as weight monitoring, salt and activity, in general terms? provenance
  2. Which entry fits cardiac rehabilitation? action

Epidemiology

Epidemiology and research.

Epidemiology

Epidemiology.

  1. How common is heart failure, and what research directions exist? provenance
  2. Which entry fits cardiology? action

What the second pass must settle

  • Should HFrEF, HFpEF and acute decompensated heart failure be separate primary entries?
  • How should guideline sources be linked?
  • The registry entry has merged aliases naming types and a mechanism; should they be split off?