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Role of Palliative Care in the Outpatient Management of the Chronic Heart Failure Patient
Springer Science and Business Media LLC - Tập 16 - Trang 220-228 - 2019
Patients with heart failure (HF) have an increased symptom burden and complex psychosocial and decision-making needs that necessitate the integration of palliative care. However, in the current era, palliative care is frequently evoked for these patients only at the end-of-life or in the inpatient setting; rarely is palliative care proactively utilized in outpatients with HF. The purpose of this r...... hiện toàn bộ
MitraClip and Transcatheter Aortic Valve Implantation (TAVI): State of the Art 2015
Springer Science and Business Media LLC - Tập 12 - Trang 379-388 - 2015
The feasibility, safety, and efficacy of transcatheter heart valve (THV) therapies such as MitraClip and transcatheter aortic valve implantation (TAVI) have made them valid therapeutic options in high-risk or inoperable patients with heart failure (HF). Randomized controlled trials (RCTs) demonstrated noninferiority and superiority in terms of efficacy for 12 months of TAVI versus surgical replace...... hiện toàn bộ
Management of Atrial Tachyarrhythmias in Heart Failure—an Interventionalist’s Point of View
Springer Science and Business Media LLC - Tập 19 - Trang 126-135 - 2022
Atrial fibrillation (AF) and heart failure (HF) are commonly encountered clinical disorders that often co-exist, accelerating disease progression and adverse outcomes. It is known that restoration of sinus rhythm positively impacts this population; however, the complex comorbidity profile associated with HF introduces intricacies not encountered in other patient populations. The current review foc...... hiện toàn bộ
Novel Drugs Targeting Transthyretin Amyloidosis
Springer Science and Business Media LLC - Tập 11 - Trang 50-57 - 2014
Transthyretin amyloidosis (ATTR) is either a hereditary disease related to a mutation in the transthyretin gene that leads to neuropathy and/or cardiomyopathy or an acquired disease of the elderly that leads to restrictive cardiomyopathy. The prevalence of this disease is higher than once thought and awareness is likely to increase amongst physicians and in particular cardiologists. Until recently...... hiện toàn bộ
Echocardiographic assessment of ventricular dyssynchrony
Springer Science and Business Media LLC - Tập 5 - Trang 31-37 - 2008
Although cardiac resynchronization therapy (CRT) has been of unquestioned therapeutic benefit to many patients with heart failure identified by a widened QRS complex on an electrocardiogram, many patients do not respond favorably. Several studies using echocardiographic methods to measure abnormalities of mechanical activation, known as dyssynchrony, have been proposed to improve patient selection...... hiện toàn bộ
Pharmacologic Strategies to Preserve Renal Function in Acute Decompensated Heart Failure
Springer Science and Business Media LLC - Tập 12 Số 1 - Trang 1-6 - 2015
Sudden cardiac death and the role of device therapy in dilated cardiomyopathy
Springer Science and Business Media LLC - Tập 2 - Trang 124-127 - 2005
Both nonischemic and ischemic dilated cardiomyopathy are associated with an increased risk of sudden cardiac death, most commonly as a result of ventricular tachyarrhythmias. The pathophysiology of sudden death is complex and results from the interplay of scarred myocardium with physiologic and environmental triggers. Clinical trials completed within the past decade have clarified the role of impl...... hiện toàn bộ
Urodilatin: A better natriuretic peptide?
Springer Science and Business Media LLC - Tập 4 - Trang 147-152 - 2008
The kidney natriuretic peptide urodilatin (ie, ularitide) decreases pulmonary capillary wedge pressure (PCWP) but does not cause diuresis in persons with congestive heart failure (CHF). Thirty-three percent of patients with CHF treated with 30 ng/kg/min ularitide develop hypotension with systolic blood pressures below 90 mmHg. Nesiritide and atrial natriuretic peptide lower PCWP and cause hypotens...... hiện toàn bộ
Interventions for Heart Failure Readmissions: Successes and Failures
Springer Science and Business Media LLC - Tập 11 - Trang 178-187 - 2014
Heart failure readmissions result in significant costs to the health care system and to patients’ quality of life, but programs to reduce readmissions have met with mixed success. Successful strategies have included multidisciplinary hospital-based quality initiatives, disease management programs, and care transition interventions. Devices like telemonitors and indwelling catheters, however, have ...... hiện toàn bộ
Evaluation and Management of Left Ventricular Noncompaction Cardiomyopathy
Springer Science and Business Media LLC - Tập 12 - Trang 61-67 - 2014
Left ventricular (LV) noncompaction cardiomyopathy (LVNC) is a form of cardiomyopathy in which trabeculations fail to “compact” with the left ventricular endocardium during fetal cardiac development and is classically associated with subsequent impairment of LV function, significant mortality, ventricular dysrhythmias, and embolic phenomena. As awareness and medical imaging quality have improved, ...... hiện toàn bộ
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