Heart Failure

Heart failure occurs when the heart cannot pump as much blood as the body requires. This ineffective pumping can lead to enlargement of the heart as the myocardium works harder pump the same amount of blood. Heart failure may be caused by defects in the myocardium, such as an a heart attack infarct, or due to structural issues such as severe heart valve regurgitation. Heart failure can be divided into HF with preserved ejection fraction (HFpEF), and HF with reduced ejection fraction (HFrEF). The disease is further divided into four New York Heart Association (NYHA) classes. Stage IV heart failure is when the heart is completely failing and requires a heart transplant or hemodynamic support from a left ventricular assist device (LVAD).

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Listen up: Heart failure tool helps ID barriers to self-care

Putting a stop to boomerang heart failure readmissions may require a sympathetic ear in the emergency department (ED). One pilot test has shown that it is possible to identify patients’ barriers to self-care, even in a busy ED setting.

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FDA gives pump to support right heart its blessing

The FDA granted Abiomed a Humanitarian Device Exemption for a percutaneous single-access heart pump for patients who develop right heart failure or decompensation.

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Super Bowl super bad for intemperate fans with heart failure

Call it Monday morning quarterbacking, but with the chance to actually change the game. Based on one study, hospitals likely will see in uptick in heart failure admissions after Super Bowl Sunday—but cardiologists still have time to coach their patients to play it smart.

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LVAD, healer of broken hearts? Heart failure biomarkers suggest yes

A look into cardiomyocytes and DNA damage response may offer new hope for patients with heart failure. Long-term use of left ventricular assist devices (LVADs) may encourage the heart to repair itself at a cellular level.

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Something to toast: Moderate drinking may reduce risk for heart failure

A little nip may not hurt the heart. Secondary analysis of Atherosclerosis Risk in Communities data found moderate drinkers had lower risk for cardiovascular events than those who had more to drink or abstained. Findings were similar for both men and women.

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Home is where the (artificial) heart is

The recipient of a total artificial heart implanted in August is home and “living a completely normal life now,” according to the French surgeon who invented the device. The patient exercises by “pedaling like crazy” on a stationary bike.

Salt shakes its bad rap for upping risk of death, heart diseases

Take it with a grain of salt: In older adults, self-reported sodium intake was not associated with risk for cardiovascular disease, heart failure and mortality, according to a study published online Jan. 19 in JAMA Internal Medicine.

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Heart failure discharge summaries miss mark

With Medicare penalties now at 3 percent for 30-day heart failure readmissions, many hospitals are eager to find opportunities to improve outcomes. Based on a study published online Jan. 13, discharge summaries might fit the bill.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.