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It highlights the confluence of two major cardiovascular epidemics, atrialfibrillation and heartfailure, with preservedejectionfraction. In these conditions, advances in electrophysiology and heartfailure physiology are intertwined and are integrated in this review.
Background Heartfailure with preservedejectionfraction is a recognised outcome in patients with myocardial infarction, although heartfailure with reduced ejectionfraction is more common. fold higher risk of heartfailure with preservedejectionfraction (95% CI 1.30
This secondary analysis of the Finerenone Trial to Investigate Efficacy and Safety Superior to Placebo in Patients With HeartFailure (FINEARTS-HF) randomized clinical trial examines the efficacy and safety of finerenone in patients with heartfailure with mildly reduced or preservedejectionfraction according to the presence and type of atrialfibrillation. (..)
Ten presentations will feature new data from the pivotal Phase III FINEARTS-HF cardiovascular (CV) outcomes trial, which investigated KERENDIA for treatingt adult patients with heartfailure (HF) with a left ventricular ejectionfraction (LVEF) of 40%, i.e., mildly reduced LVEF (HFmrEF) or preserved LVEF (HFpEF).
This systematic review and meta-analysis investigates the efficacy of catheter ablation compared with rate or rhythm control among patients with atrialfibrillation and heartfailure.
Heartfailure (HF) is one of the significant complications in patients with myocardial infarction (MI), leading to increased risk for cardiovascular morbidity and mortality. Common predictors include older age, prior hypertension, diabetes and atrialfibrillation. HFrEF is more commonly.
mtaschetta-millane Wed, 07/31/2024 - 06:00 July 31, 2024 — A novel study co-authored by a heartfailure cardiologist at University Hospitals Harrington Heart & Vascular Institute, demonstrates the effectiveness of a newly developed scoring system in identifying patients with HeartFailure with PreservedEjectionFraction (HFpEF).
Heartfailure with preservedejectionfraction (HFpEF) and atrialfibrillation (AF) have emerged as major age-related epidemics within cardiology. Indeed, these two conditions are commonly found in the same individual, so much so that AF has been used in proposed diagnostic criteria for HFpEF.
Clinical outcomes among patients with atrialfibrillation (AF) and heartfailure with preservedejectionfraction (HFpEF) treated with catheter ablation (CA) versus antiarrhythmic therapy (AAT) are not well-known.
What is the prevalence of subclinical atrialfibrillation (AF) in patients with heartfailure and preservedejectionfraction (HFpEF), and how does it impact outcomes?
The efficacy of catheter ablation as a treatment approach for patients with concurrent atrialfibrillation (AF) and heartfailure with preservedejectionfraction (HFpEF) has been inadequately investigated.
Atrialfibrillation (AF) is a common arrhythmia in patients with heartfailure (HF). Catheter ablation of AF has been proven to be an effective therapeutic option for AF management in HF, particularly in heartfailure with reduced ejectionfraction (HFrEF) [2, 3].
The benefit of catheter ablation in patients with atrialfibrillation (AF) for patients with heartfailure with preservedejectionfraction (HFpEF) remains uncertain.
American College of Cardiology (ACC) and American Heart Association (AHA) Issue New Hypertrophic Cardiomyopathy (HCM) Management Guidelines 2. New Study Published in JACC: HeartFailure Reveals that Despite Significant Efforts to Improve Acute HeartFailure Treatment Over the Past 20 Years, Management Remains Unchanged 3.
Heartfailure with preservedejectionfraction (HFpEF) and atrialfibrillation (AF) are comorbid conditions that are increasingly prevalent and have a high socioeconomic burden. This article discusses their shared pathophysiology, focusing on the triad of hypertension, obesity, and aging.We
Studies have suggested that early atrialfibrillation (AF) ablation is associated with improved outcomes. However, it is unknown whether these patterns hold for persistent AF among patients with heartfailure with preservedejectionfraction (HFpEF).
Ten presentations will feature new data from the pivotal Phase III FINEARTS-HF cardiovascular (CV) outcomes trial, which investigated KERENDIA for treatingt adult patients with heartfailure (HF) with a left ventricular ejectionfraction (LVEF) of 40%, i.e., mildly reduced LVEF (HFmrEF) or preserved LVEF (HFpEF).
Left atrial and pulmonary artery pressure (PAP) elevation can reflect severity and dynamic status of heartfailure (HF) in HF with preservedejectionfraction (pEF). Atrialfibrillation (AF) worsens HFpEF progression and pump failure, but catheter ablation can restore rhythm control in this population.
The HFA–PEFF score comprising echocardiographic and laboratory data is designed to diagnose heartfailure with preservedejectionfraction and holds prognostic value in patients who underwent catheter ablation for atrialfibrillation (AF).
What is the utility and validity of HFA-PEFF and H2FPEF scores for diagnosis of heartfailure with preservedejectionfraction (HFpEF) in patients with symptomatic atrialfibrillation (AF)?
Abstract Introduction Catheter ablation for atrialfibrillation (AF) reduces heartfailure (HF) hospitalization in patients with HF with preservedejectionfraction (HFpEF).
Optimal NT-proBNP cut points for HFpEF rule out (optimizing sensitivity) and rule in (optimizing specificity) were derived and tested, stratified by obesity and atrialfibrillation. Circulation, Ahead of Print.
Abstract Aims Atrialfibrillation (AF) is common in heartfailure (HF) and negatively impacts outcomes. The role of ablation-based rhythm control in patients with AF and HF with preserved (HFpEF) or mildly reduced ejectionfraction (HFmrEF) is not known.
Abstract Background Heartfailure (HF) with preservedejectionfraction (HFpEF) and atrialfibrillation (AF) are associated with high morbidity and mortality.
ABSTRACT Background Left atrial (LA) myopathy is increasingly recognized as an important phenotypic trait in heartfailure (HF) with preservedejectionfraction (HFpEF). 2.92, p = 0.01). Further study is required to define optimal strategies to treat and prevent biatrial myopathy in HFpEF.
The data on comparison of parameters of diastolic dysfunction (DD) on transthoracic echocardiogram (TTE) according to the progressive stages of AF in patients with coexisting heartfailure with preservedejectionfraction (HFpEF) are limited.
Beta-blockers are commonly used in patients with heartfailure and mildly reduced or preservedejectionfraction (HFmrEF/HFpEF). Methods and results We pooled individual patient data from four large HFmrEF/HFpEF trials (I-Preserve, TOPCAT, PARAGON-HF, and DELIVER).
The combined effect of Left Ventricular EjectionFraction (LVEF) and the presence of AtrialFibrillation (AF) on clinical outcomes in heartfailure (HF) patients remains complex.
Journal of the American Heart Association, Ahead of Print. BackgroundHeart failure with preservedejectionfraction ≥50% is prevalent with few evidence‐based therapies. points, whereas usual care worsened by 6.9 points,P<0.001).
Abstract Introduction Heartfailure (HF) and atrialfibrillation (AF) frequently co-exist. Contemporary classification of HF categorizes it into HF with reduced ejectionfraction (HFrEF), HF with mildly reduced ejectionfraction (HFmrEF), and HF with preservedejectionfraction (HFpEF).
Circulation: HeartFailure, Volume 16, Issue 11 , Page e010849, November 1, 2023. Mediation of the association between MMP-2 and HF was assessed by censoring participants who developed AF or coronary heart disease before HF. 1.81]), incident HF with preservedejectionfraction (1.44 [95% CI, 1.07–1.94]),
Circulation: HeartFailure, Ahead of Print. Background:NT-proBNP (N-terminal pro-B-type natriuretic peptide) levels are variably elevated in heartfailure with preservedejectionfraction (HFpEF), even in the presence of increased left ventricular filling pressures.
Previous studies have demonstrated significant morbidity and mortality in patients with heartfailure (HF) with reduced ejectionfraction (HFrEF), particularly with accompanying atrialfibrillation (AF).
Digoxin has been used in the management of chronic heartfailure (HF) and atrialfibrillation (AF) for over 250 years. It is the only drug that combines an inotropic effect with a reduction in ventricular rate in AF. Therefore, in theory it should be an ideal treatment for HF, especially when there is co-existent AF.
A number of studies have examined the impact of atrialfibrillation (AF) ablation on outcomes in heartfailure (HF) with reduced ejection (HFrEF) patients. In contrast, data from HF with preservedejectionfraction (HFpEF) patients is limited to small outcome studies and less robust meta-analyses.
The impact of comorbidity burden on outcomes of radiofrequency catheter ablation (RFCA) for atrialfibrillation (AF) in patients with heartfailure and preservedejectionfraction (HFpEF) remains unclear.
Background The HeartFailure Association Pretest assessment, echocardiography and natriuretic peptide, functional testing and final aetiology (HFA-PEFF) score has been developed for diagnosing heartfailure with preservedejectionfraction (HFpEF), which is frequently associated with atrialfibrillation (AF).
Catheter ablation has become the most effective rhythm control strategy in treating atrialfibrillation (AF), preventing AF recurrence and delaying its progression to persistent AF better than antiarrhythmic drugs.
Studies have shown an overriding benefit of AF ablation in patients with long-standing HFrEF and symptomatic AF. Any benefit from active AF intervention in patients with HFpEF has been less certain.
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