Continuous HF Spectrum: Moving Beyond a LVEF Classification Continuous HF Spectrum: Moving Beyond a LVEF Classification

The authors challenge the epidemiological, clinical, pathophysiological, and therapeutic basis for classifying heart failure solely according to LVEF.European Heart Journal
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Cardiology Journal Article Source Type: news

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Authors: Aloisi G, Zucchelli A, Aloisi B, Romanelli G, Marengoni A Abstract In patients with heart failure (HF), depression is common and associated with adverse outcomes such as reduced adherence to treatment, poor quality of life, increased hospitalizations and elevated mortality. Despite these adverse impacts, depression remain underdiagnosed in HF patients. We performed a target review of the literature to identify the association between HF and depression, to examine the mechanisms that link these two conditions and to identify instruments for an accurate diagnosis and treatment of depression in HF patients. D...
Source: Monaldi Archives for Chest Disease - Category: Respiratory Medicine Tags: Monaldi Arch Chest Dis Source Type: research
In this study we assessed the incidence and the predictors of new-onset LVDD in RA patients. Two-hundred-ninety-five adults with RA without overt cardiac disease were prospectively analyzed from March 2014 to March 2015 by Doppler echocardiography. Among the 295 subjects evaluated, 217 (73.6%) had normal LV diastolic function and represented the final study population. At 1-year follow-up, 53 of 217 patients (24%) developed LVDD, which was of degree I (mild dysfunction) in all of them. By multivariate logistic regression analysis, lower E/A ratio of transmitral flow (ratio between the peak velocity of early diastolic "...
Source: Monaldi Archives for Chest Disease - Category: Respiratory Medicine Tags: Monaldi Arch Chest Dis Source Type: research
Authors: De Vecchis R Abstract Recently, transcatheter ablation of atrial fibrillation (AF) has been validated by international societal guidelines as a technique suitable for both treatment and secondary prevention of paroxysmal, persistent or long-lasting persistent AF in highly symptomatic patients in whom at least one antiarrhythmic drug had been tested. PMID: 31505912 [PubMed - in process]
Source: Monaldi Archives for Chest Disease - Category: Respiratory Medicine Tags: Monaldi Arch Chest Dis Source Type: research
ConclusionThe overall estimated incidence of AF and recurrent AF during pregnancy is as high as 2.2% and 39.2%, respectively. AF during pregnancy may result in poor maternal and fetal outcomes.
Source: Advances in Medical Sciences - Category: Biomedical Science Source Type: research
Condition:   Heart Failure NYHA Class III Intervention:   Device: Cordella™ Pulmonary Artery Sensor System Sponsor:   Endotronix, Inc. Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 12 September 2019Source: Revista Portuguesa de Cardiologia (English Edition)Author(s): Sofia Torres, Sandra Amorim, Mariana Vasconcelos, Carla Sousa, M. Júlia Maciel, Filipe Macedo
Source: Revista Portuguesa de Cardiologia - Category: Cardiology Source Type: research
We reported a case of 66-year-old man status post-implantation of HM II who presented with STS phenomenon. A tear at the distal end of the DL was found, and the patient underwent replacement of the extracorporeal part of DL twice. After the second repair, the pump functioned normally when tested in the hospital but the STS occurred again at home. The patient then underwent LVAD replacement surgery and insulation breach was found at one of the wires in intracorporeal part of the DL. After the surgery, the patient sustained recurrent episodes of STS and had to undergo a third extracorporeal DL repair surgery. Analysis of the...
Source: Journal of Artificial Organs - Category: Transplant Surgery Source Type: research
AbstractPurpose of ReviewThis review describes the current literature on the use of data science to predict readmissions of patients with heart failure. We examine the chronology of heart failure management from the emergency department, inpatient unit, transition of care, and home care. We examine the software and hardware which may improve readmission rates of this common and complex disease process.Recent FindingsThere are multiple novel applications of data science which have been used to predict readmissions of heart failure patients. In the emergency department, efforts are focused on identifying patients who can be ...
Source: Current Emergency and Hospital Medicine Reports - Category: Emergency Medicine Source Type: research
Heart transplantation is still the primary surgical treatment for end-stage heart failure. Due to limited donor heart availability, alternative and improved strategies are required. The tremendous developments in the field of active left ventricular assist devices (LVADs) have resulted in increased usage of LVADs as a bridge to transplant strategy and pose a technical challenge for LVAD preparation and removal during heart transplantation. The HeartMate 3 is the latest generation of fully magnetically levitated centrifugal left ventricular assist device and can be completely intrapericardially implanted in many different configurations.
Source: Operative Techniques in Cardiac and Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Transplant Source Type: research
AbstractAcute heart failure hospitalizations complicated by diuretic resistance are associated with worse outcomes. Yet, quantification of the frequency and accompanying risk from loop diuretic resistance is limited by the absence of a comprehensive definition with universal clinical application. Herein, we outline limitations of the current metrics used to identify and define diuretic resistance. We discuss the best available methods to identify and prognosticate outcomes in diuretic resistance. We propose a mechanism-based classification system of diuretic resistance by anatomical location as follows: pre-nephron resista...
Source: Heart Failure Reviews - Category: Cardiology Source Type: research
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