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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. (..)
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.
Roughly half of patients with heartfailure (HF) have preservedejectionfraction (HFpEF). HFpEF and atrialfibrillation (AF) often coexist and share similar risk factors.
Heartfailure with preservedejectionfraction (HFpEF) is prevalent but under-recognised in patients with atrialfibrillation (AF). Existing HFpEF risk scores have suboptimal discrimination in this cohort.
Journal of the American Heart Association, Ahead of Print. BackgroundAortic stenosis can lead to cardiac adaptations and symptoms similar to heartfailure with preservedejectionfraction. Methods and ResultsThis retrospective cohort study included 469 patients with moderate aortic stenosis.
Patients who undergo catheter ablation for atrialfibrillation (AFib) who also have heartfailure with preservedejectionfraction (HFpEF) experienced a greater benefit from ablation in terms of clinical outcome, AFib recurrence and functional status, according to findings from the CABANA trial.
The efficacy of catheter ablation as a treatment approach for patients with concurrent atrialfibrillation (AF) and heartfailure with preservedejectionfraction (HFpEF) has been inadequately investigated.
Studies have shown detrimental effects of atrialfibrillation (AF) occurrence among patients with heartfailure (HF) with a preservedejectionfraction (HFpEF). Ablative therapy may counter this risk, but the impact of timing of ablation in paroxysmal vs. persistent AF is unclear.
Atrialfibrillation (AF) is a common cause of embolic stroke and strongly associated with the development of heartfailure with preservedejectionfraction (HFpEF). Left atrial disease is commonly considered as central to the pathophysiology of these conditions.
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].
What is the prevalence of subclinical atrialfibrillation (AF) in patients with heartfailure and preservedejectionfraction (HFpEF), and how does it impact outcomes?
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
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.
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).
The benefit of catheter ablation in patients with atrialfibrillation (AF) for patients with heartfailure with preservedejectionfraction (HFpEF) remains uncertain.
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).
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.
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)?
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.
Abstract Background Heartfailure (HF) with preservedejectionfraction (HFpEF) and atrialfibrillation (AF) are associated with high morbidity and mortality.
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, 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.
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]),
Cardiorespiratory fitness is a modifiable risk factor associated with the development and progression of atrialfibrillation. However, whether a smaller left ventricular (LV) volume is associated with reduced CRF in individuals with atrialfibrillation (AF) has not been well established.
While there are several reports on the efficacy of catheter ablation for atrialfibrillation (AF) in patients with heartfailure with preservedejectionfraction (HFpEF), comprehensive data on the optimal catheter ablation strategy remain scarce.
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.
Atrialfibrillation (AF) and heartfailure with preservedejectionfraction (HFpEF) are conditions that frequently coexist and interact, creating a complex interplay with significant clinical implications.
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