Congestive Heart Failure (CHF) is an ambulatory care sensitive condition, associated
with significant morbidity and mortality, rarely with cure. Outpatient based pharmacological
management represents the main and most important aspect of care, and is usually lifelong.
This narrative styled opinion review looks at the pharmacological agents recommended
in the guidelines in context of the Northern Territory (NT) of Australia. We explore
the concept of validity, a term used to describe the basis of standardising a particular
trial or study and the population to which it is applicable. We aim to highlight the
problems of the current guidelines based approach. We also present alternatives that
could utilise the core principles from major trials, while incorporating regional
considerations, which could benefit clients living in the NT and remote Australia.
Keywords
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Article info
Publication history
Published online: December 23, 2014
Accepted:
December 9,
2014
Received in revised form:
August 1,
2014
Received:
September 8,
2013
Identification
Copyright
© 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.
