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Lifestyle Modifications for Preventing and Treating Heart Failure

Monica Aggarwal, Biykem Bozkurt, Gurusher Panjrath, Brooke Aggarwal, Robert J Ostfeld, Neal D Barnard, Hanna Gaggin, Andrew M Freeman, Kathleen Allen, Shivank Madan, Daniele Massera, Sheldon E Litwin
Journal of the American College of Cardiology 2018 November 6, 72 (19): 2391-2405
30384895
Continued improvement in medical and device therapy for heart failure (HF) has led to better survival with this disease. Longer survival and increasing numbers of unhealthy lifestyle factors and behaviors leading to occurrence of HF at younger ages are both contributors to an increase in the overall prevalence of HF. Clinicians treating this complex disease tend to focus on pharmacological and device therapies, but often fail to capitalize on the significant opportunities to prevent or treat HF through lifestyle modification. Herein, the authors review the evidence behind weight management, exercise, nutrition, dietary composition, supplements, and mindfulness and their potential to influence the epidemiology, pathophysiology, etiology, and management of stage A HF.

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