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).

2 HF studies challenge clinical trial findings

Two observational studies published Nov. 28 in the Journal of the American Medical Association produced heart failure (HF) treatment efficacy results that differ markedly from the results found in clinical trials of the treatments. 

Thumbnail

Atrial fibrillation associated with higher rates of sudden cardiac death

Researchers analyzed two large cohorts of the general population and found a strong association between incident atrial fibrillation (AF) and sudden cardiac death and between incident AF and non-sudden cardiac death. But editorial writers offered several caveats about the analysis.

FDA approves HeartWare’s bridge-to-transplant system

The FDA has approved the HeartWare Ventricular Assist System to support heart function and blood flow in patients with end-stage heart failure who are awaiting a heart transplant.

Thumbnail

More evidence on older women, newer cancer drugs

The risk of developing cardiac complications was higher in older women who received trastuzumab as adjuvant treatment for early stage breast cancer than was shown in clinical trials, and use of this therapy in older women is growing, according to a recent study. The results underline the importance of studying the cardiotoxic side effects of biological therapies as more agents enter clinical practice, the lead author told Cardiovascular Business.

Survival rates for in-hospital cardiac arrest climb

Risk-adjusted survival rates for patients who experienced cardiac arrest in a hospital intensive care unit or inpatient ward increased every year between 2000 and 2009, according to a recent study. "There are about 160,000 in-hospital deaths from cardiac arrest every year," co-author Paul S. Chan, MD, of Saint Luke's Mid America Heart Institute in Kansas City, Mo., told Cardiovascular Business. "[It is] a hidden epidemic, and people don't have a good appreciation of its impact."

AHA: Diuretic-based therapy superior to ultrafiltration in HF patients

Stepped administration of pharmocologic therapy was superior to ultrafiltration in safely achieving weight loss and change in serum creatinine levels in patients experiencing decompensated heart failure (HF) with cardiorenal syndrome, according to CARRESS-HR results presented Nov. 6 at the American Heart Association's (AHA) scientific sessions in Los Angeles, and simultaneously published online in the New England Journal of Medicine.

Thumbnail

Younger men make up greater share of CHF admissions

More younger men in the U.S. are being admitted to hospitals for congestive heart failure (CHF), according to the Centers for Disease Control and Prevention.

Home-based HF program costs one-third less than clinic-based

A home-based intervention for managing chronic heart failure (CHF) patients had mortality and unplanned hospitalization rates similar to a clinic-based intervention but cost the healthcare system one-third less, according to a randomized trial. The cost savings were mostly due to fewer days in the hospital.

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.

Trimed Popup
Trimed Popup