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This secondary analysis of the Finerenone Trial to Investigate Efficacy and Safety Superior to Placebo in Patients With HeartFailure (FINEARTS-HF) randomized clinical trial evaluates the effect of finerenone on outpatient worsening heartfailure events requiring oral diuretic intensification among patients with heartfailure with mildly reduced or (..)
Breakdown of the study population by worsening heartfailure (WHF) event proportions (oral diuretic intensification or heartfailure [HF] hospitalization) and KaplanMeier curve of all-cause mortality after WHF event shown, relative to a patient group that did not have any WHF events.
Earlier research showed that primary care clinicians using AI-ECG tools identified more unknown cases of a weak heart pump, also called low ejection fraction, than without AI. New study findings suggest that this type of screening is also cost-effective in the long term, especially in outpatient settings.
milla1cf Tue, 05/28/2024 - 07:00 May 28, 2024 — Yoga focused on breathing, meditation, and relaxation is linked with symptom improvement in patients with heartfailure, according to research presented at HeartFailure 2024 , a scientific congress of the European Society of Cardiology (ESC).
This proof-of-principle study investigates the association between tissue sodium content, assessed by MRI, and HF-related baseline parameters in an outpatient cohort of patients with chronic heartfailure, including those with reduced ejection fraction (HFrEF), mildly reduced ejection fraction (HFmrEF), and preserved ejection fraction (HFpEF).Methods
Background The obesity occurrence has achieved epidemic levels worldwide and several studies indicate a paradoxical similarity among obesity and the prognosis in heartfailure (HF). Methods We analyzed 1,556 medical records from the HF outpatient clinic of a quaternary hospital and 242 were selected according to the criteria.
The clinical role and educational preparation of heartfailure nurses across Europe. HF, heartfailure; HFN, heartfailure nurse; MDT, multidisciplinary team. Most nurses, 78% ( n = 395) worked within a hospital outpatient setting, and 51% ( n = 431) had access to a specialized HF multidisciplinary team.
The goal of the FRESH-UP trial was to assess the safety and effect of lifestyle advice of a liberal vs. a restrictive fluid regimen in patients with chronic HF in an outpatient setting.
Conclusion Patients with high levels of troponin, or NT-proBNP, or cystatin C who develop WHF despite being treated with a loop diuretic, need novel therapies for WHF.
Earlier research showed that primary care clinicians using AI-ECG tools identified more unknown cases of a weak heart pump, also called low ejection fraction, than without AI.
Patients with heartfailure (HF) who have worsening HF symptoms that require intensification of oral diuretics in the outpatient setting are common and associated with a poor prognosis, and finerenone reduced the need for intensifying diuretics.
Among patients with transthyretin amyloidosis cardiomyopathy (ATTR-CM), vutrisiran reduced the risk of outpatient worsening heartfailure (HF) – which was itself associated with a 2.6-fold fold increased risk of all-cause mortality and cardiovascular events.
AimsTo assess the barriers to guideline-directed medical therapy (GDMT) use in heartfailure (HF), diagnostic workup and general knowledge about HF among physicians in Sweden.MethodsA survey about the management of HF was sent to 828 Swedish physicians including general practitioners (GPs) and specialists during 2021–2022.
There has been a notable increase over the last decade in the volume of outpatient, inpatient, and advanced therapy needs associated with patients with heartfailure (HF),
Aims Identifying clinical and echocardiographic parameters associated with improvement in systolic function in outpatients with heartfailure with reduced ejection fraction (HFrEF) could lead to more targeted treatment improving systolic function and outcome. Beta-coefficients (β-coef) are standardised. to 7.51, p=0.006).
Heartfailure with preserved ejection fraction (HFpEF) is a common concern in the medical field due to its prevalence in an ageing western population. HFpEF is associated with significant morbidity and mortality not dissimilar to heartfailure (HF) with reduced ejection fraction.
Introduction:Enhanced External Counterpulsation (EECP) is a noninvasive outpatient therapy designed to improve arterial health, cardiac efficiency, and coronary collateral formation by applying sequential external pressure aligned with the patient’s cardiac cycle.
Abstract Diagnosing heartfailure is often difficult due to the non-specific nature of symptoms, which can be caused by a range of medical conditions. Natriuretic peptides (NPs) have been recognized as important biomarkers for diagnosing heartfailure. Use of this acronym would enable the early diagnosis of heartfailure.
Diagrammatic illustration of trends of incident heartfailure diagnosis and diagnostic testing in the US from 2016 to 2019 stratified by inpatient and outpatient setting. However, real-world utilization of these diagnostic tests in the US is not known. A total of 124 126 patients were included.
Publication date: Available online 1 April 2025 Source: The American Journal of Cardiology Author(s): Hubert B. Haywood, Lisa A. Kaltenbach, Uchechukwu Ikeaba, Gregg C. Fonarow, Karen Chiswell, Veraprapas Kittipibul, Muhammad Shahzeb Khan, Megha Gupta, Best Uchehara, Bradley G. Hammill, Javed Butler, Adrian F. Hernandez, G.
Introduction This study aimed to evaluate the use and dose of loop diuretics (LDs) across the entire ejection fraction (EF) spectrum in a large, ‘real-world’ cohort of chronic heartfailure (HF) patients. Data regarding daily diuretic dose were stratified by furosemide dose equivalent (FDE)>80 mg or ≤80 mg.
(MedPage Today) -- For patients with chronic heartfailure (HF) who have persistent congestion despite high doses of oral loop diuretics, the right way to intensify diuretics in the outpatient setting may be narrowed, based on a small randomized.
Background: The heartfailure (HF) virtual consultation (VC) is an eHealth tool for delivery of peer-to-peer specialist advice to general practitioners (GPs) to discuss HF diagnosis/management. This may facilitate early diagnosis and management of suspected HF in the current era of long outpatient waiting times.
Aims We investigated the incremental advantage in terms of N-terminal pro-B-type natriuretic peptide (NT-proBNP) reduction in patients affected by heartfailure with reduced ejection fraction (HFrEF) treated with sacubitril/valsartan (S/V) and mineralocorticoid receptor antagonists (MRA) versus patients treated with S/V only.
Introduction The diagnostic and therapeutic arsenal for heartfailure with preserved ejection (HFpEF) has expanded. With novel therapies (eg, sodium-glucose co-transporter 2 inhibitors) and firmer recommendations to optimise non-cardiac comorbidities, it is unclear if outpatient HFpEF models can adequately deliver this.
A novel quality improvement (QI) initiative for guideline-directed medical therapy (GDMT) utilization increased angiotensin receptor-neprilysin inhibitor (ARNI) and mineralocorticoid receptor antagonist (MRA) prescriptions in outpatients with heartfailure with reduced ejection fraction (HFrEF,) according to an implementation perspective paper published (..)
Introduction:Chronic HeartFailure (HF) is a clinical syndrome that as a consequence of the compensatory mechanisms to maintain an adequate level of perfusion, causes dyspnea, peripheral edema, fatigue, lack of appetite, changes in body weight, cachexia, sarcopenia, among others.
Permanent pacer placement Later, a biventricular pacer was placed for " Cardiac Resynchronization Therapy (CRT) " (This is indicated for patients with LBBB and QRS duration > 130 ms and heartfailure and vastly improves heartfailure). See Dr. Karim's further thoughts on this below.
Aims Heartfailure (HF) is associated with comorbidities which independently influence treatment response and outcomes. Outcome measures were (1) all-cause hospitalisations, (2) outpatient clinic attendances and (3) cost. Results 334 patients (mean age 72.5±11 ±4 months.
Background:Patients with type 2 diabetes are at risk of heartfailure hospitalization. Accounting for all-cause mortality, we obtained the incidence for heartfailure hospitalization at 5 years follow-up; overall and in each SDI group. and 0.80, respectively). and 0.80, respectively).
A new study in European Heart Journal – Digital Health showed that Us2.ai’s ai’s AI echo algorithm can interpret echocardiographic strain images with similar accuracy as conventional measurements, highlighting how AI can democratize cardiac strain exams and improve heartfailure assessments. in Taiwanese cohort; −15.4
Choice of drugs for rate control is recommended based on left ventricular ejection fraction (LVEF), however, real-time assessment of LVEF remains limited, particularly in outpatient setting.
We aimed to associate the levels of SN in plasma with different causes of heartfailure. Methods We prospectively enrolled consecutive patients with ischaemic (ICM) and dilated (DCM) cardiomyopathy from the outpatientheartfailure clinic and healthy individuals.
1 Long-term AF management, including outpatient visits, hospitalisations and disabilities from stroke and heartfailure (HF), adds substantial burden on healthcare resources and costs, accounting for 2.6% of the total annual healthcare expenditure of European countries.
Introduction:Given the well-documented benefits of yoga on the cardiovascular system and improvement of exercise tolerance and quality of life, the American Heart Association recently recommended yoga as a safe and well-tolerated adjunctive therapy for patients with heartfailure (HF).
Introduction:Guidelines have recognized the critical role of self-care in heartfailure (HF), but people with HF do not adequately practice self-care. We also observed a statistically significant reduction in the number of HF-related unscheduled outpatient department visits in the intervention group compared to the control group at T2.
Methods We used the Swedish Registry of Cardiopulmonary Resuscitation, merged with the Inpatient Registry and Outpatient Registry to identify patients with OHCA from 2010 to 2020 and to collect all their comorbidities as well as discharge diagnoses (among those admitted to hospital). Among women, 18.0% of the men.
ConclusionsWe identified substantial variation in the use of outpatient cardiac imaging related to physician and site factors. Generalized linear mixed‐effects models estimated the association of payment model (including the ability to bill to interpret imaging tests) and the use of cardiac imaging and quantified variation in cardiac imaging.
He now has regular appointments with the heartfailure team. Queen of Hearts -- makes the diagnosis easy 3. The consequence of these oversights is the need for lifelong commitment of this patient to the heartfailure clinic. The R waves have not recovered, however. I overread all ECGs for our 35 providers.
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