Revascularization in Cardiogenic Shock and Advanced Heart Failure

AbstractPurpose of reviewIschemic heart disease is the most common cause of heart failure with systolic dysfunction. The progressive course of heart failure characterized by increasing levels of care and worsening quality of life often indicates an advanced stage. Similarly, cardiogenic shock remains a major clinical problem with prohibitively high mortality rates despite major advances in clinical care. Here, we review the current treatment options and available data for revascularization in patients with ischemic cardiomyopathy, advanced heart failure, and cardiogenic shock. We also explore the emerging role of Interventional Heart Failure specialist within the Heart Team.Recent findingsAlthough guideline-directed medical therapy remains the cornerstone treatment strategy for patients with advanced heart failure, coronary revascularization is sometimes indicated. There is a relatively paucity of evidence regarding different revascularization strategies and the use of acute mechanical circulatory support in patients with advanced heart failure and in those presenting with cardiogenic shock. A deep understating of the physiologic and hemodynamic effects of different acute mechanical support platforms is of paramount importance in preparation for revascularization in these patients.SummaryThe decision regarding revascularization in patients with coronary artery disease in the setting of left ventricular dysfunction remains challenging. Clinical decision-making in these cases r...
Source: Current Treatment Options in Cardiovascular Medicine - Category: Cardiology Source Type: research

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ConclusionRight SCA with congenital absence of the LCA is one of the rarest coronary artery anomalies. In a significant percentage of patients it is associated with ischemia and can be life-threatening. CCTA and MRI are the modalities of choice for diagnosis and risk stratification.ResumoIntroduçãoArtéria coronária única (ACU) sem cardiopatia congénita associada é uma entidade rara. Maioria dos casos é assintomática e achados acidentais, mas podem causar isquémia, insuficiência cardíaca congestiva e morte súbita (MS).Caso clíni...
Source: Revista Portuguesa de Cardiologia - Category: Cardiology Source Type: research
Authors: Westhoff-Bleck M, Hilfiker-Kleiner D, Pankuweit S, Schieffer B Abstract Pregnancy-associated diseases of the cardiovascular system occur in up to 10% of all pregnancies and the incidence is increasing. Besides congenital heart disease or pre-existing cardiomyopathy in the mother, the clinical focus has moved especially to peripartum cardiomyopathy (PPCM) because of the condition's dramatic clinical course and the identification of the underlying mechanisms. This review article concentrates therefore on PPCM, which occurs either in the last month of pregnancy or in the first 6 months following delivery in w...
Source: Geburtshilfe und Frauenheilkunde - Category: OBGYN Tags: Geburtshilfe Frauenheilkd Source Type: research
ConclusionHeart failure occurs at a younger age in Indians compared to the western countries. The most common etiology is DCM followed by VHD. Since this is a retrospective analysis and has its own limitations, community based heart failure study taking a clue from the present study can be done to achieve invaluable data.
Source: Journal of Indian College of Cardiology - Category: Cardiology Source Type: research
Publication date: Available online 20 September 2017Source: Cor et VasaAuthor(s): Jan Hulka, Jiri SoukupAbstractTakotsubo cardiomyopathy (TTC) belongs to rare heart disease with symptoms imitating acute coronary syndrome with ST segment elevation. Usually, it occurs predominantly in postmenopausal women. In most cases, the disease has an uncomplicated course, but some patients may develop severe complications (e.g. cardiogenic shock, severe heart failure, malignant arrhythmia, thromboembolism or myocardial wall rupture). This case report describes an 82-year-old man with TTC complicated rupture of the left ventricular free...
Source: Cor et Vasa - Category: Cardiology Source Type: research
ConclusionHeart failure occurs at a younger age in Indians compared to the western countries. The most common etiology is DCM followed by VHD. Since this is a retrospective analysis and has its own limitations, community based heart failure study taking a clue from the present study can be done to achieve invaluable data.
Source: Journal of Indian College of Cardiology - Category: Cardiology Source Type: research
Publication date: Available online 20 September 2017Source: Cor et VasaAuthor(s): Jan Hulka, Jiri SoukupAbstractTakotsubo cardiomyopathy (TTC) belongs to rare heart disease with symptoms imitating acute coronary syndrome with ST segment elevation. Usually, it occurs predominantly in postmenopausal women. In most cases, the disease has an uncomplicated course, but some patients may develop severe complications (e.g. cardiogenic shock, severe heart failure, malignant arrhythmia, thromboembolism or myocardial wall rupture). This case report describes an 82-year-old man with TTC complicated rupture of the left ventricular free...
Source: Cor et Vasa - Category: Cardiology Source Type: research
Conclusion Heart failure occurs at a younger age in Indians compared to the western countries. The most common etiology is DCM followed by VHD. Since this is a retrospective analysis and has its own limitations, community based heart failure study taking a clue from the present study can be done to achieve invaluable data.
Source: Journal of Indian College of Cardiology - Category: Cardiology Source Type: research
Conclusion Heart failure occurs at a younger age in Indians compared to the western countries. The most common etiology is DCM followed by VHD. Since this is a retrospective analysis and has its own limitations, community based heart failure study taking a clue from the present study can be done to achieve invaluable data.
Source: Journal of Indian College of Cardiology - Category: Cardiology Source Type: research
by Ca íque Bueno Terhoch, Henry Fukuda Moreira, Silvia Moreira Ayub-Ferreira, Germano Emilio Conceição-Souza, Vera Maria Cury Salemi, Paulo Roberto Chizzola, Mucio Tavares Oliveira Jr, Silvia Helena Gelas Lage, Edimar Alcides Bocchi, Victor Sarli Issa AimsExplore the association between clinical findings and prognosis in patients with acute decompensated heart failure (ADHF) and analyze the influence of etiology on clinical presentation and prognosis. Methods and resultsProspective cohort of 500 patients admitted with ADHF from Aug/2013-Feb/2016; patients were predominantly male (61.8%), median age was...
Source: PLoS Neglected Tropical Diseases - Category: Tropical Medicine Authors: Source Type: research
Publication date: Available online 20 September 2017 Source:Cor et Vasa Author(s): Jan Hulka, Jiri Soukup Takotsubo cardiomyopathy (TTC) belongs to rare heart disease with symptoms imitating acute coronary syndrome with ST segment elevation. Usually, it occurs predominantly in postmenopausal women. In most cases, the disease has an uncomplicated course, but some patients may develop severe complications (e.g. cardiogenic shock, severe heart failure, malignant arrhythmia, thromboembolism or myocardial wall rupture). This case report describes an 82-year-old man with TTC complicated rupture of the left ventricular free wall...
Source: Cor et Vasa - Category: Cardiology Source Type: research
More News: Cardiogenic Shock | Cardiology | Cardiomyopathy | Cardiovascular | Heart | Heart Disease | Heart Failure