Comparison Of Time To Guideline Directed Medical Therapy In Ischemic And Non Ischemic Cardiomyopathies
Guideline directed medical therapy (GDMT) has been accepted as a group of specific medications shown to provide survival benefit in heart failure patients with reduced ejection fraction. Data regarding the clinical impact of titration velocities to targeted doses of GDMT is scant. Here we compare the time to titration of GDMT observed in ischemic cardiomyopathy (ICM) and nonischemic cardiomyopathy (NICM). Cardiomyopathies as a heterogeneous group of diseases where the heart muscle is structurally and functionally abnormal. (Source: Journal of Cardiac Failure)
Source: Journal of Cardiac Failure - January 1, 2024 Category: Cardiology Authors: Macie N. Matta, Megan Valente, Jasmin Ortiz, Kathir Balakumaran Tags: 184 Source Type: research

The Interplay Of Hemodynamics: A Complicated Case Of Mitral Valve-in-valve And Neo-LVOT Obstruction With Cardiogenic Shock
Bioprosthetic mitral valve stenosis may precipitate pulmonary edema and right ventricular (RV) failure due to elevated left atrial pressure and post-capillary pulmonary hypertension. A transcatheter mitral valve-in-valve (MVIV) procedure is a feasible option to alleviate these complications for patients who are not candidates for re-do surgery. Herein, an intricate case of cardiogenic shock with neo-LVOT obstruction and biventricular failure from MVIV is discussed. (Source: Journal of Cardiac Failure)
Source: Journal of Cardiac Failure - January 1, 2024 Category: Cardiology Authors: Rakushumimarika Harada, Zuyue Wang, Gregory Milligan, Nitin Kabra, David Rawitscher, Karim Al-Azizi, Aasim Afzal Tags: 185 Source Type: research

One-year Outcomes Of Patients With HFrEF Followed At A Multidisciplinary Heart Failure Clinic In The Middle East: HFimpEF Vs. Persistent HFrEF
Guideline-directed medical therapy (GDMT) plays a pivotal role in myocardial recovery for patients with HFrEF and translates to reduced morbidity and mortality. A subset of HFrEF patients can transition to HF with improved ejection fraction (HFimpEF). Currently, there is a paucity of data on the characteristics of patients transitioning to HFimpEF, especially from the Middle East region. We aim to present the characteristics and outcomes of patients with HFrEF referred to our HF clinic and present characteristics of those who became HFimpEF at 1-year follow-up. (Source: Journal of Cardiac Failure)
Source: Journal of Cardiac Failure - January 1, 2024 Category: Cardiology Authors: Obada Kholoki, Yosef Manla, Yasser Salti, Iman Mukhtar Hamour, Hussam Ghalib, Nadya Almatrooshi, Medhat Soliman, Guirgis Gabra, Feras Bader Tags: 186 Source Type: research

Non-invasive Remote Patient Monitoring Programs In Patients With Chronic Heart Failure: Establishing Optimal, Evidence-Based Time-To-clinical Response Protocols
Remote patient monitoring (RPM) programs aim to reduce rates of hospitalizations and mortality in patients with heart failure (HF) through increased monitoring, early identification of HF decompensation, and timely intervention in the out-patient setting. Non-invasive RPM generally consists of wireless, digital transmission of physiological data and has been studied in multiple clinical trials with mixed results. Studies are available establishing acute and chronic trends in physiological signs and patient reported symptomology that may portend hospitalization, but patient-specific variability in signs of decompensation ma...
Source: Journal of Cardiac Failure - January 1, 2024 Category: Cardiology Authors: Elise L. Shalowitz, David P. Kao Tags: 187 Source Type: research

Causes Of Hospitalizations In Patients With Cardiorenal Syndrome Across The Spectrum Of Ejection Fraction: An Analysis Of More Than 1000 Hospitalizations From The Middle East
Hospitalizations in patients with HF impose a major burden on healthcare systems. The coexistence of HF and chronic kidney disease, referred to as cardiorenal syndrome (CRS), complicates the clinical picture even further and may result in frequent admissions. Little is known about the causes of hospitalizations in this challenging population and whether they vary with LV systolic function. Therefore, we aim to investigate the causes and characteristics of hospitalizations in patients with CRS and compare them across the spectrum of left ventricular ejection fraction (LVEF) quartiles. (Source: Journal of Cardiac Failure)
Source: Journal of Cardiac Failure - January 1, 2024 Category: Cardiology Authors: Yosef Manla, Obada Kholoki, Hussam Ghalib, Nadya Almatrooshi, Shahrukh Hashmani, Walid El Tahlawy, Shady Abdelsayed, Feras Bader Tags: 188 Source Type: research