TNM-Like Classification: A New Proposed Method for Heart Failure Staging

Heart Failure (HF) is an acute or chronic syndrome, that causes a lot of damaging effects to every system. The involvement of different systems is variably related to age and others comorbidities. The severity of organ damage is often proportional to the duration of heart failure. The typology of HF...

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Main Authors: Francesco Fedele, Maria Chiara Gatto, Alessandra D’Ambrosi, Massimo Mancone
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/175925
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author Francesco Fedele
Maria Chiara Gatto
Alessandra D’Ambrosi
Massimo Mancone
author_facet Francesco Fedele
Maria Chiara Gatto
Alessandra D’Ambrosi
Massimo Mancone
author_sort Francesco Fedele
collection DOAJ
description Heart Failure (HF) is an acute or chronic syndrome, that causes a lot of damaging effects to every system. The involvement of different systems is variably related to age and others comorbidities. The severity of organ damage is often proportional to the duration of heart failure. The typology of HF and the duration determine which organs will be affected and vice versa the severity of organ damage supplies precious information about prognosis and outcome of patients with heart failure. Moreover, a classification based not only on symptomatic and syndromic typical features of heart failure, but also on functional data of each system, could allow us to apply the most appropriate therapies, to obtain a more accurate prognosis, and to employ necessary and not redundant human and financial resources. With an eye on the TNM staging used in oncology, we drawn up a classification that will consider the different involvement of organs such as lungs, kidneys, and liver in addition to psychological pattern and quality of life in HF patients. For all these reasons, it is our intention to propose a valid and more specific classification available for the clinical staging of HF that takes into account pathophysiological and structural changes that can remark prognosis and management of HF.
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issn 1537-744X
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spelling doaj-art-755c6f0b13ab426fb414b9b51a99d2f52025-02-03T01:32:44ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/175925175925TNM-Like Classification: A New Proposed Method for Heart Failure StagingFrancesco Fedele0Maria Chiara Gatto1Alessandra D’Ambrosi2Massimo Mancone3Department of Cardiovascular, Respiratory, Nephrology, Anesthesiology and Geriatric Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Cardiovascular, Respiratory, Nephrology, Anesthesiology and Geriatric Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Cardiovascular, Respiratory, Nephrology, Anesthesiology and Geriatric Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Cardiovascular, Respiratory, Nephrology, Anesthesiology and Geriatric Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyHeart Failure (HF) is an acute or chronic syndrome, that causes a lot of damaging effects to every system. The involvement of different systems is variably related to age and others comorbidities. The severity of organ damage is often proportional to the duration of heart failure. The typology of HF and the duration determine which organs will be affected and vice versa the severity of organ damage supplies precious information about prognosis and outcome of patients with heart failure. Moreover, a classification based not only on symptomatic and syndromic typical features of heart failure, but also on functional data of each system, could allow us to apply the most appropriate therapies, to obtain a more accurate prognosis, and to employ necessary and not redundant human and financial resources. With an eye on the TNM staging used in oncology, we drawn up a classification that will consider the different involvement of organs such as lungs, kidneys, and liver in addition to psychological pattern and quality of life in HF patients. For all these reasons, it is our intention to propose a valid and more specific classification available for the clinical staging of HF that takes into account pathophysiological and structural changes that can remark prognosis and management of HF.http://dx.doi.org/10.1155/2013/175925
spellingShingle Francesco Fedele
Maria Chiara Gatto
Alessandra D’Ambrosi
Massimo Mancone
TNM-Like Classification: A New Proposed Method for Heart Failure Staging
The Scientific World Journal
title TNM-Like Classification: A New Proposed Method for Heart Failure Staging
title_full TNM-Like Classification: A New Proposed Method for Heart Failure Staging
title_fullStr TNM-Like Classification: A New Proposed Method for Heart Failure Staging
title_full_unstemmed TNM-Like Classification: A New Proposed Method for Heart Failure Staging
title_short TNM-Like Classification: A New Proposed Method for Heart Failure Staging
title_sort tnm like classification a new proposed method for heart failure staging
url http://dx.doi.org/10.1155/2013/175925
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AT alessandradambrosi tnmlikeclassificationanewproposedmethodforheartfailurestaging
AT massimomancone tnmlikeclassificationanewproposedmethodforheartfailurestaging