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It highlights the confluence of two major cardiovascular epidemics, atrialfibrillation and heart failure, with preservedejectionfraction. ABSTRACT This state-of-the-art review is based on the Philippe Coumel Lecture in 2024 (Figure 1).
This secondary analysis of the Finerenone Trial to Investigate Efficacy and Safety Superior to Placebo in Patients With Heart Failure (FINEARTS-HF) randomized clinical trial examines the efficacy and safety of finerenone in patients with heart failure with mildly reduced or preservedejectionfraction according to the presence and type of atrialfibrillation. (..)
Background Heart failure with preservedejectionfraction is a recognised outcome in patients with myocardial infarction, although heart failure with reduced ejectionfraction is more common. fold higher risk of heart failure with preservedejectionfraction (95% CI 1.30 m/s had a 2.10-fold
This systematic review and meta-analysis investigates the efficacy of catheter ablation compared with rate or rhythm control among patients with atrialfibrillation and heart failure.
1 Left ventricular ejectionfraction (LVEF) is a crucial parameter in HF assessment and management, although the differences in mortality are little different between HF with LVEF≥50% or HF with preservedejectionfraction (HFpEF) in patients with post-MI compared with HF with LVEF≤40% or HF with reduced ejectionfraction (HFrEF).
Multivariate linear regression analysis shows that the degree of anemia, atrialfibrillation, and TR were independently associated with the TAPSE/PASP ratio.ConclusionAnemia in HFpEF is associated with RV dysfunction, and this relationship is not affected by classical risk factors, such as smoking, hypertension, and diabetes.
Clinical outcomes among patients with atrialfibrillation (AF) and heart failure 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 heart failure 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 heart failure with preservedejectionfraction (HFpEF) has been inadequately investigated.
The benefit of catheter ablation in patients with atrialfibrillation (AF) for patients with heart failure with preservedejectionfraction (HFpEF) remains uncertain.
Atrialfibrillation (AF) is a common arrhythmia in patients with heart failure (HF). Catheter ablation of AF has been proven to be an effective therapeutic option for AF management in HF, particularly in heart failure with reduced ejectionfraction (HFrEF) [2, 3].
Heart failure 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
The HFA–PEFF score comprising echocardiographic and laboratory data is designed to diagnose heart failure with preservedejectionfraction and holds prognostic value in patients who underwent catheter ablation for atrialfibrillation (AF).
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 heart failure with preservedejectionfraction (HFpEF). The majority of these studies evaluated paroxysmal AF cases.
Late-breaking Clinical Trial Results from FARADISE, admIRE Study and Advent Trial at Heart Rhythm 2024 Highlight Pulsed Field Ablation Developments for AtrialFibrillation Treatment 8. Patent Covering the Use of Levosimendan in Pulmonary Hypertension with Heart Failure with PreservedEjectionFraction (PH-HFpEF) 10.
Left atrial and pulmonary artery pressure (PAP) elevation can reflect severity and dynamic status of heart failure (HF) in HF with preservedejectionfraction (pEF). Atrialfibrillation (AF) worsens HFpEF progression and pump failure, but catheter ablation can restore rhythm control in this population.
What is the utility and validity of HFA-PEFF and H2FPEF scores for diagnosis of heart failure with preservedejectionfraction (HFpEF) in patients with symptomatic atrialfibrillation (AF)?
Abstract Background Heart failure (HF) with preservedejectionfraction (HFpEF) and atrialfibrillation (AF) are associated with high morbidity and mortality. However, it remains unclear whether SRM after a repeat CA for recurrent AF has the same effect as SRM after the initial CA in patients with AF and HFpEF.
This study investigates the utility of echocardiographic left ventricular (LV) to left atrial (LA) volume ratio in estimating the resting FP in patients with dyspnoea and preservedejectionfraction (EF). For patients in sinus rhythm specifically, the cut-off value was ≤1.28 (AUC = 0.799), with P < 0.0001 for both.
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 heart failure with preservedejectionfraction (HFpEF) are limited.
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.
mtaschetta-millane Wed, 07/31/2024 - 06:00 July 31, 2024 — A novel study co-authored by a heart failure cardiologist at University Hospitals Harrington Heart & Vascular Institute, demonstrates the effectiveness of a newly developed scoring system in identifying patients with Heart Failure with PreservedEjectionFraction (HFpEF).
The combined effect of left ventricular ejectionfraction (LVEF) and atrialfibrillation (AF) on clinical outcomes in heart failure (HF) remains complex.
Abstract Introduction Heart failure (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).
The combined effect of Left Ventricular EjectionFraction (LVEF) and the presence of AtrialFibrillation (AF) on clinical outcomes in heart failure (HF) patients remains complex.
Atrialfibrillation (AF) with comorbid heart failure with preservedejectionfraction (HFpEF) presents a significant management challenge. While the association between AF and heart failure with reduced ejectionfraction is extensively studied, the correlation between AF and HFpEF remains less explored.
BackgroundHeart failure with preservedejectionfraction ≥50% is prevalent with few evidence‐based therapies. Journal of the American Heart Association, Ahead of Print. These changes were paralleled by improvements in heart failure‐related quality of life (myPACE Minnesota Living with Heart Failure Questionnaire improved by 16.1
A number of studies have examined the impact of atrialfibrillation (AF) ablation on outcomes in heart failure (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.
Previous studies have demonstrated significant morbidity and mortality in patients with heart failure (HF) with reduced ejectionfraction (HFrEF), particularly with accompanying atrialfibrillation (AF).
Overtime, various studies have reported variable mortality outcomes in heart failure with preservedejectionfraction (HFpEF) patients. It remains unclear to what extent atrialfibrillation (AF) creates increased mortality alone or in combination with either HFpEF or heart failure with reduced ejectionfraction (HFrEF).
Background:NT-proBNP (N-terminal pro-B-type natriuretic peptide) levels are variably elevated in heart failure with preservedejectionfraction (HFpEF), even in the presence of increased left ventricular filling pressures. Circulation: Heart Failure, Ahead of Print.
The impact of comorbidity burden on outcomes of radiofrequency catheter ablation (RFCA) for atrialfibrillation (AF) in patients with heart failure and preservedejectionfraction (HFpEF) remains unclear.
Multivariable linear regression models were used to assess associations of MMP-2 with measures of left ventricular and left atrial structure and function.RESULTS:Compared with the 3 lower quartiles, the highest MMP-2 quartile associated with greater risk of incident HF overall (adjusted hazard ratio, 1.48 [95% CI, 1.21–1.81]),
Digoxin has been used in the management of chronic heart failure (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.
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.
Abstract Introduction Emerging evidence suggests a beneficial effect of higher heart rates in some patients with heart failure with preservedejectionfraction (HFpEF). Between-treatment comparisons were performed using linear regression models adjusting for the baseline value of the exposure (ANCOVA design).
24 will focus on the following three current guideline updates: American College of Cardiology (ACC)/American Heart Association (AHA) Guidelines 2023 AtrialFibrillation Guideline - Pharmacology II: Strokes vs. Bleeds, What Do the Guidelines Tell Us About Practical Management in A-fib? The Guidelines Sessions at ACC.24
25 include Efficacy and safety of finerenone across the spectrum of kidney risk in heart failure with mildly reduced or preservedejectionfraction during the session;"Innovations and Insights in Heart Failure With PreservedEjectionFraction: Emerging Therapies, Biomarkers and Mechanistic Studies."
Abstract Introduction Catheter ablation for atrialfibrillation (AF) reduces heart failure (HF) hospitalization in patients with HF with preservedejectionfraction (HFpEF). However, the long-term outcomes and subclinical HF after nonparoxysmal AF ablation in HFpEF patients have not been fully evaluated.
ABSTRACT Background Left atrial (LA) myopathy is increasingly recognized as an important phenotypic trait in heart failure (HF) with preservedejectionfraction (HFpEF).
25 include Efficacy and safety of finerenone across the spectrum of kidney risk in heart failure with mildly reduced or preservedejectionfraction during the session;"Innovations and Insights in Heart Failure With PreservedEjectionFraction: Emerging Therapies, Biomarkers and Mechanistic Studies."
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