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Condition: Heart Failure
Management: Hospitals

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Total 519 results found since Jan 2013.

Selenium Treatment and Chagasic Cardiopathy (STCC): study protocol for a double-blind randomized controlled trial
DiscussionIf Se treatment reduces the progression of Chagas cardiopathy, the inclusion of this micronutrient in the daily diet can improve the therapeutic regimen for this neglected tropical disease at low cost.Trial registration: Clinical Trials.gov ID: NCT00875173 (registered 20 October 20 2008).
Source: Trials - October 6, 2014 Category: Journals (General) Authors: Pedro Alvarenga Americano do BrasilAndréa Pereira de SouzaAlejandro Hasslocher-MorenoSérgio XavierSonia Lambert PassosMaria de Fátima Ramos MoreiraMarília Santini de OliveiraGilberto Sperandio da SilvaRoberto Magalhães SaraivaClaudia Santos de Aguiar Source Type: research

Hypertension and acute coronary syndromes in Romania: data from the ISACS-TC registry
There is little information on the incidence and prognostic significance of arterial hypertension (HTN) in acute coronary syndromes (ACSs), especially in the east European countries. We sought to investigate a registry of ACS patients in Romania, in order to better elucidate whether hypertensive patients are at higher risk of death and deserve a tailored approach for management and follow-up. The data of this study are a framework of the International Survey of Acute Coronary Syndromes in Transitional Countries (ISACS-TC) (ClinicalTrials.gov, NCT01218776). The present analysis focused on 2286 retrospective patients admitte...
Source: European Journal of Heart Failure Supplements - January 10, 2014 Category: Cardiology Authors: Dorobantu, M., Tautu, O.-F., Fruntelata, A., Calmac, L., Tatu-Chitoiu, G., Bataila, V., Dimulescu, D., Craiu, E., Nanea, T., Istvan, A., Babes, K., Macarie, C., Militaru, C., Cenko, E., Manfrini, O. Tags: Articles Source Type: research

Particularities in coronary revascularization in elderly patients presenting with ST segment elevation acute myocardial infarction (STEMI)
Publication date: August 2014 Source:Cor et Vasa, Volume 56, Issue 4 Author(s): Maria Dorobanţu , Lucian Câlmâc , Andrada Bogdan , Vlad Bătăilă , Bogdan Drăgoescu , Andrei Radu , Mugur Marinescu , Şerban Arvanitopol , Gabriel Tatu-Chiţoiu , Rodica Niculescu Nowadays, ST elevation acute myocardial infarction (STEMI) is seen with greater incidence in older patients. Current guidelines recommend an immediate invasive evaluation and eventually primary percutaneous coronary intervention (PCI) in all STEMI patients regardless of age. Nevertheless, data in literature show a significant underuse of interventional treatm...
Source: Cor et Vasa - November 1, 2014 Category: Cardiology Source Type: research

Improvement of clinical quality indicators through reorganization of the acute care by establishing an emergency department-a register study based on data from national indicators
Background: The Emergency Departments (EDs) reorganization process in Denmark began in 2007 and includes creating a single entrance for all emergency patients, establishing triage, having a specialist in the front and introducing the use of electronic overview boards and electronic patient files. The aim of this study was to investigate the quality of acute care in a re-organized ED based on national indicator project data in a pre and post reorganizational setting. Methods: Quasi experimental design was used to examine the effect of the health care quality in relation to the reorganization of an ED. Patients admitted at N...
Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine - November 5, 2014 Category: Emergency Medicine Authors: Maria MattssonNick MattssonHanne Jørsboe Source Type: research

Ronald Reagan UCLA Medical Center recognized with award for heart failure care
Ronald Reagan UCLA Medical Center has received the American Heart Association’s Get With The Guidelines – Heart Failure Gold-Plus Quality Achievement Award. The award recognizes the hospital’s work implementing quality improvement measures outlined by the American Heart Association/American College of Cardiology Foundation guidelines for heart failure patients. This marks the sixth consecutive year that Ronald Reagan UCLA Medical Center has been recognized with a quality achievement award for its work treating heart failure. Get With The Guidelines – Heart Failure is a quality improvement program that helps hospita...
Source: UCLA Newsroom: Health Sciences - November 14, 2014 Category: Universities & Medical Training Source Type: news

Type 2 diabetes and incidence of cardiovascular diseases: a cohort study in 1·9 million people
This study is registered at ClinicalTrials.gov (NCT01804439). Findings Our cohort consisted of 1 921 260 individuals, of whom 1 887 062 (98·2%) did not have diabetes and 34 198 (1·8%) had type 2 diabetes. We observed 113 638 first presentations of cardiovascular disease during a median follow-up of 5·5 years (IQR 2·1–10·1). Of people with type 2 diabetes, 6137 (17·9%) had a first cardiovascular presentation, the most common of which were peripheral arterial disease (reported in 992 [16·2%] of 6137 patients) and heart failure (866 [14·1%] of 6137 patients). Type 2 diabetes was positively associated wi...
Source: The Lancet Diabetes and Endocrinology - December 5, 2014 Category: Endocrinology Source Type: research

The New Strategy in Infective Endocarditis: Early Surgery Based on Early Diagnosis: Are We Too Late, When Early Surgery is Best?
Abstract Patients with infective endocarditis (IE) have a poor prognosis due to complications including congestive heart failure, paravalvular abscess formation, central and peripheral embolism, and hemorrhagic stroke.(1) Patients with IE and congestive heart failure (CHF) have a mortality as high as 50%.(1) The poor prognosis seems not be improved during recent years.(2) In Sweden 7.603 patients with IE received a close follow-up with assessment of the 30-day mortality and 5-year follow-up including autopsy in all fatal events sampled from 1997 to 2007.(2) During the observation period no change of mortality was ...
Source: Circulation - December 5, 2014 Category: Cardiology Authors: Erbel RA Tags: Circulation Source Type: research

Cause-Specific Risk of Hospital Admission Related to Extreme Heat in Older Adults
ImportanceHeat exposure is known to have a complex set of physiological effects on multiple organ systems, but current understanding of the health effects is mostly based on studies investigating a small number of prespecified health outcomes such as cardiovascular and respiratory diseases.ObjectivesTo identify possible causes of hospital admissions during extreme heat events and to estimate their risks using historical data.Design, Setting, and PopulationMatched analysis of time series data describing daily hospital admissions of Medicare enrollees (23.7 million fee-for-service beneficiaries [aged ≥65 years] per year; 8...
Source: JAMA - December 24, 2014 Category: Journals (General) Source Type: research

Complication rate for diabetes patients leads to higher death rates
One in five people admitted to hospital for angina; stroke; heart attack; and heart failure have diabetes
Source: The IC : Infant Feeding - January 29, 2015 Category: Nursing Source Type: news

Treatment: Special Conditions: Co-existing Heart Disease: Atrial Fibrillation
AF is the most common sustained rhythm disorder of the heart affecting approximately 6 million Americans. 1 AF occurs in 0.4% of the general population, 4% of the hospital population, and in 40% of patients with congestive heart failure (HF)2-5. A variety of clinical conditions predispose to the development of AF, the commonest being hypertension (see section ii below). AF is a major cause of serious morbidity such as cerebrovascular embolism (‘stroke’), causing a 5 fold increase in the risk of stroke (including over 10% of all strokes in the elderly).
Source: Journal of the American Society of Hypertension - February 10, 2015 Category: Cardiology Authors: Rishi Arora, Clyde W. Yancy Source Type: research

Cardioverter defibrillator implantation without induction of ventricular fibrillation: a single-blind, non-inferiority, randomised controlled trial (SIMPLE)
We examined safety with two, 30 day, adverse event outcome clusters. The trial is registered with ClinicalTrials.gov, number NCT00800384. Findings Between Jan 13, 2009, and April 4, 2011, of 2500 eligible patients, 1253 were randomly assigned to defibrillation testing and 1247 to no-testing, and followed up for a mean of 3·1 years (SD 1·0). The primary outcome of arrhythmic death or failed appropriate shock occurred in fewer patients (90 [7% per year]) in the no-testing group than patients who did receive it (104 [8% per year]; HR 0·86, 95% CI 0·65–1·14; pnon-inferiority <0·0001). The first safety composite...
Source: The Lancet - February 23, 2015 Category: Journals (General) Source Type: research

Sauna use linked to longer life, fewer fatal heart problems
After shoveling for days, breaking up ice dams, and now shivering in this week’s frigid temperatures, I wouldn’t mind sitting in a sauna for a bit. A new report in JAMA Internal Medicine makes this pastime even more appealing: regularly spending time in a sauna may help keep the heart healthy and extend life. Researchers from the University of Eastern Finland tracked 2,300 middle-aged men for an average of 20 years. They categorized the men into three groups according to how often they used a sauna each week. The men spent an average of 14 minutes per visit baking in 175° F heat. Over the course of the study, ...
Source: New Harvard Health Information - February 25, 2015 Category: Consumer Health News Authors: Beverly Merz Tags: Complementary and alternative medicine Heart Health sauna Source Type: news

The integration of telemedicine concepts in the regional care of rural areas : Possibilities, limitations, perspectives.
Abstract In rural areas with a low population density and (imminent) gaps in regional health care, telemedicine concepts can be a promising option in supporting the supply of medical care.Telemedicine connections can be established between different health care providers (e.g., hospitals) or directly between health care providers and patients.Different scenarios for the implementation of telemedicine have been developed, from the monitoring of chronically ill patients to the support of acute care. Examples of frequently applied telemedicine concepts are teleradiology, telemedicine stroke networks, and the telemedi...
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - February 20, 2015 Category: Global & Universal Authors: van den Berg N, Schmidt S, Stentzel U, Mühlan H, Hoffmann W Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research

Treatment: special conditions
Atrial fibrillation (AF) is the most common sustained rhythm disorder of the heart affecting approximately 6 million Americans.1 AF occurs in 0.4% of the general population, 4% of the hospital population, and in 40% of patients with congestive heart failure (HF).2–5 A variety of clinical conditions predispose to the development of AF, the most common being hypertension (see Pathophysiology and Mechanisms of AF in this article). AF is a major cause of serious morbidity such as cerebrovascular embolism (‘stroke’), causing a 5–fold increase in the risk of stroke (including over 10% of all strokes in the elderly).
Source: Journal of the American Society of Hypertension - February 10, 2015 Category: Cardiology Authors: Rishi Arora, Clyde W. Yancy Tags: American Society of Hypertension Self-Assessment Guide Source Type: research

Heart failure and mortality outcomes in patients with type 2 diabetes taking alogliptin versus placebo in EXAMINE: a multicentre, randomised, double-blind trial
This study is registered with ClinicalTrials.gov, number NCT00968708. Findings 5380 patients were assigned to alogliptin (n=2701) or placebo (n=2679) and followed up for a median of 533 days (IQR 280–751). The exploratory extended MACE endpoint was seen in 433 (16·0%) patients assigned to alogliptin and in 441 (16·5%) assigned to placebo (hazard ratio [HR] 0·98, 95% CI 0·86–1·12). Hospital admission for heart failure was the first event in 85 (3·1%) patients taking alogliptin compared with 79 (2·9%) taking placebo (HR 1·07, 95% CI 0·79–1·46). Alogliptin had no effect on composite events of cardiovascular d...
Source: The Lancet - March 12, 2015 Category: Journals (General) Source Type: research