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).

NEJM: Pediatric VAD has higher survival rates than ECMO

Survival rates are significantly higher with the ventricular assist device (VAD) than with extracorporeal membrane oxygenation, but serious adverse events, including infection, stroke and bleeding, occurred in a majority of study participants in both arms, according to the results of the prospective Berlin Heart Study, published Aug. 8 in the New England Journal of Medicine.

JACC: Defib testing during ICD implants may not be necessary

Event rates were similar and extremely low when performing defibrillation testing versus not performing defibrillation testing during de novo implantable cardioverter-defibrillator (ICD) implants, according to the prospective, observational SAFE-ICD study. The study authors suggested that their findings support a strategy of omitting defibrillation testing during an ICD implant.

Abiomed's percutaneous heart pump clears Health Canada

Abiomed, a developer of heart support technologies, has received Health Canada approval to market the Impella cVAD device, a new percutaneous Impella heart pump.

MedAxiom: When are LVADs the answer?

CHICAGOAs more technologies emerge and even more patients are being diagnosed with advanced heart failure, are left ventricular assist devices (LVAD) the answer or is there an alternative? Audrey Douglas-Cooke, RN, tackled this question during a presentation June 6 at MedAxioms 2nd annual Cardiovascular Service Line Symposium.

Circ study gives scoop on HF drug nonadherence, 'objectively'

Using a small monitoring device that fits in the cap of a pill vial, researchers tracked the pill-taking patterns of heart failure (HF) patients for six months to identify factors that contribute to medication nonadherence. They found nonadherents were more likely to have attention lapses, excessive daytime sleepiness and multiple dosing, knowledge providers can use to better manage patients.

Maquet acquires Avalons catheter

Maquet Cardiopulmonary, a branch of Maquet Cardiovascular that provides extracorporeal membrane oxygenation (ECMO) and extracorporeal life support systems (ECLS), has signed an agreement with Avalon Laboratories to acquire its catheter product and complimentary vascular access kits for use during ECMO and ECLS.

EHJ: Multidisciplinary CRT care improves patient outcomes

Heart failure patients who received cardiac resynchronization therapy (CRT) and multidisciplinary care had better survival rates and a lower risk of hospitalization than CRT patients given conventional care, according to a study published online May 21 in the European Heart Journal. Although compelling, the results need to be validated in a prospective randomized trial, the authors wrote.

HRS: Off-guideline ICD use for primary prevention may not cause harm

BOSTON Despite recent studies that question the "inappropriate use" of implantable cardioverter-defibrillators (ICDs) in primary prevention, the large OMNI registry, presented May 11 at the 33rd annual scientific sessions of the Heart Rhythm Society (HRS), found that patients who received ICD implants in a non-evidence based manner experienced similar therapeutic benefit and outcomes to those who received evidence-based treatments.

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.

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