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).

Wireless heart pumps could be on the horizon

Researchers from the University of Washington and University of Pittsburgh have developed a wireless power system that may one day be used to power implanted heart pumps, according to findings presented June 10-12, at the 57th Annual Conference of the American Society for Artificial Internal Organs (ASAIO).

JAMA: CAHs come up short on care processes

Critical access hospitals (CAHs) face a litany of challenges including fewer clinical capabilities and lower care process performance compared with non-CAH facilities, according to research published July 6 in the Journal of the American Medical Association.

JAMA: Does all diastolic dysfunction in HF lead to death?

Moderate or severe diastolic dysfunction (DD) was an independent predictor of mortality in patients with a normal ejection fraction who presented for outpatient echocardiography, according to a study published June 27 in the Journal of the American Medical Association.

10 top questions toward improving female CVD diagnosis

Cardiovascular disease (CVD) is a leading culprit of death among women and each year; 8.6 million women die from the disease. However, because women are underrepresented in CVD clinical trials, it is difficult for physicians to understand whether women benefit from certain treatments. More gender-specific research will help improve womens heart health, according to report put forth by the Society for Womens Health Research and WomenHeart.

JACC: Older HF patients have good LVAD outcomes at community hospitals

Advanced age (older than 70 years) should not be used as an independent contraindication when selecting a heart failure (HF) patient for left ventricular assist device (LVAD) therapy at experienced community hospital centers, based on results of a single-center study in the June 21 issue of the Journal of the American College of Cardiology.

Penn leaves Cleveland Clinic for Summa

Marc Steven Penn, MD, PhD, is leaving his post at Cleveland Clinic to become director of research for Summa Cardiovascular Institute and professor of medicine and integrative medical sciences at NEOMED, both of which are located in Akron, Ohio.

AHA: Fewer Medicare patients hospitalized for cardiac causes

Cardiac problems remain a persistent concern for Medicare beneficiaries; however, rates for cardiac-related hospitalizations have declined over the past decade, according to new data presented at this years annual American Heart Association (AHA) Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke scientific sessions in Atlanta.

The ACC Corner: National Quality Initiative Looks to Reduce Readmission Rates

Treating cardiovascular disease, in particular those patients with heart failure (HF) and myocardial infarction (MI), is costly. Studies show that HF and MI patients are particularly vulnerable in the 30-day post discharge period for hospital readmission. Therefore, changes in care strategies during this period of time could greatly improve outcomes.

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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