Talking points included in this deck are for internal/speaker use only, and are not to be distributed.
|
|
- Louisa Harrington
- 5 years ago
- Views:
Transcription
1 1
2 Talking points included in this deck are for internal/speaker use only, and are not to be distributed. Before presenting the CHAMPION study, I would like to provide a brief overview of the CardioMEMS HF System. The design and function of each component will be discussed in detail later in the presentation and demonstrated during the breakout session this afternoon. The CardioMEMS HF System consists of the PA sensor, Hospital & Patient Electronics, and the PA Pressure Website. 2
3 3
4 4
5 Talking points included in this deck are for internal/speaker use only, and are not to be distributed. If we look at he physiologic markers that are used today to manage HF patients they occur late in the time course of decompensation and provide little time to react before a hospitalization these include weight, symptoms and BP. In order to successfully manage HF patients and impact the time course of decompensation you need to identify the issue before the patient becomes symptomatic and congested. Since increases in filling pressures cause decompensation monitoring pressure changes will assist in identifying presymptomatic congestion in order to allow time to react and alter the time course of decompensation Graph adapted from: Adamson PB. Pathophysiology of the transition from chronic compensated and acute decompensated heart failure: new insights from continuous monitoring devices. Curr Heart Fail Rep Dec;6(4):
6 Talking points included in this deck are for internal/speaker use only, and are not to be distributed. The acute HF syndrome that leads to worsening HF is a complex process and begins with increases in pressure the start the cycle. 6
7 Talking points included in this deck are for internal/speaker use only, and are not to be distributed. High rates of HF-related hospitalizations may further contribute to the progression of heart failure and LV dysfunction. With each admission for acute heart failure syndromes, there may be a short-term improvement. However, the patient often leaves with a further decrease in cardiac function. Graph adapted from: Gheorghiade MD, et al. Pathophysiologic targets in the early phase of acute heart failure syndromes. Am J Cardiol. 2005; 96[suppl]: 11G-17G. 7
8 8
9 Talking points included in this deck are for internal/speaker use only, and are not to be distributed. This graphical representation of cumulative heart failure hospitalizations illustrates that the primary efficacy outcome at 6 months was met and its durability over the full study duration (average of 15 months) is maintained. This shows an apparent improvement in efficacy over prolonged follow-up (with a RRR of 37%), rather than any indication that there is a loss of treatment effect. 9
10 Talking points included in this deck are for internal/speaker use only, and are not to be distributed. The only pre specified sub group analysis was HF hospitalizations by baseline ejection fraction. A reduction in HF hospitalizations was observed in both the reduced EF patients (24% reduction) and preserved EF patients (46% reduction). The finding of reduction in HF hospitalizations in the preserved EF group is important, as no previous trial has proven effective in this group. 10
11 Talking points included in this deck are for internal/speaker use only, and are not to be distributed. The only pre specified sub group analysis was HF hospitalizations by baseline ejection fraction. A reduction in HF hospitalizations was observed in both the reduced EF patients (24% reduction) and preserved EF patients (46% reduction). The finding of reduction in HF hospitalizations in the preserved EF group is important, as no previous trial has proven effective in this group. 11
12 Talking points included in this deck are for internal/speaker use only, and are not to be distributed. This retrospective analysis looked at HFrEF patients in the Champion Clinical Trial already on guideline-directed medical therapy (GDMT). In 337 patients in this analysis there were 163 in the treatment group and 174 in the control group. Management with PA pressure (treatment group) showed a 43% reduction in HF hospitalizations and 57% reduction in mortality. This reduction in HF hospitalization and improvement in survival was over and above the benefits of neurohormonal control through PAP management. This data supports the mortality trend observed in the Champion Clinical Trial (Abraham, et al Lancet, 2011). In addition it is in line with studies that have shown the relationship between HF hospitalizations and mortality where HF hospitalizations are a strong predictor of mortality (Lee DS, et al. Am J of Med, 2009 and Setoguchi S, et al. Am Heart J, 2007 ). 12
13 Talking points included in this deck are for internal/speaker use only, and are not to be distributed. This retrospective analysis looked at HFrEF patients in the Champion Clinical Trial already on guideline-directed medical therapy (GDMT). In 337 patients in this analysis there were 163 in the treatment group and 174 in the control group. Management with PA pressure (treatment group) showed a 43% reduction in HF hospitalizations and 57% reduction in mortality. This reduction in HF hospitalization and improvement in survival was over and above the benefits of neurohormonal control through PAP management. This data supports the mortality trend observed in the Champion Clinical Trial (Abraham, et al Lancet, 2011). In addition it is in line with studies that have shown the relationship between HF hospitalizations and mortality where HF hospitalizations are a strong predictor of mortality (Lee DS, et al. Am J of Med, 2009 and Setoguchi S, et al. Am Heart J, 2007 ). 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
The role of remote monitoring in preventing readmissions after acute heart failure
The role of remote monitoring in preventing readmissions after acute heart failure October 20, 2017 Randall C Starling MD MPH FACC FAHA FESA FHFSA Professor of Medicine Kaufman Center for Heart Failure
More informationLo scompenso cardiaco: le riammissioni, un problema in parte evitabile?
Lo scompenso cardiaco: le riammissioni, un problema in parte evitabile? E. Gronda UO di Cardiologia e Ricerca Clinica IRCCS MultiMedica Dipartimento Cardiovascolare Interaziendale Gruppo MultiMedica Heart
More informationImplantierbarer hämodynamischer Monitor bei Herzinsuffizienzpatienten
22. Dresdner Symposium Herz und Gefäße 2016 Implantierbarer hämodynamischer Monitor bei Herzinsuffizienzpatienten Ein sinnvolles neues Monitoring-Tool? Dr. Mattias Roser, MD Head of Electrophysiology Dept.
More informationBETTER HEART FAILURE MANAGEMENT FROM THE COMFORT OF YOUR HOME
BETTER HEART FAILURE MANAGEMENT FROM THE COMFORT OF YOUR HOME Staying Ahead of Heart Failure with the CardioMEMS HF System The CardioMEMS HF System A UNIQUE APPROACH TO HEART FAILURE MANAGEMENT THAT CAN
More informationDisclosures. Advances in Chronic Heart Failure Management 6/12/2017. Van N Selby, MD UCSF Advanced Heart Failure Program June 19, 2017
Advances in Chronic Heart Failure Management Van N Selby, MD UCSF Advanced Heart Failure Program June 19, 2017 I have nothing to disclose Disclosures 1 Goal statement To review recently-approved therapies
More informationDisclosures. Overview. Goal statement. Advances in Chronic Heart Failure Management 5/22/17
Disclosures Advances in Chronic Heart Failure Management I have nothing to disclose Van N Selby, MD UCSF Advanced Heart Failure Program May 22, 2017 Goal statement To review recently-approved therapies
More information1/28/2016. The Weight is Over! Heart Failure Epidemic. Heart Failure Epidemic. U.S. Census Bureau Projections. Burden on Society
Remote Monitoring for Heart Failure: The Weight is Over! Heart Failure Epidemic Jamie Pelzel, MD Cardiologist, CentraCare Heart & Vascular Center Medical Director, CentraCare Heart Failure Program Kannel
More information2/3/2017. Objectives. Effective Heart Failure Management through Evidence Based Practice and Innovation
Effective Heart Failure Management through Evidence Based Practice and Innovation Jennifer Bauerly RN, CHFN, APRN-BC CentraCare Heart and Vascular Center Objectives Describe the scope and impact of heart
More informationPhilip B. Adamson, MD, FACC
Sensed Hemodynamics Coupled to Remote Patient Monitoring in Heart Failure: Has the Search for the Holy Grail Ended? Philip B. Adamson, MD, FACC Director, Heart Failure Institute at Oklahoma Heart Hospital
More informationImplementing the CardioMEMS HF System into the Management of Heart Failure Patients
Implementing the CardioMEMS HF System into the Management of Heart Failure Patients Robert W. Hull MD FACC Associate Professor of Medicine WVU Heart Institute Co-director, Arrhythmia Service Director,
More informationHeart Failure Guidelines For your Daily Practice
Heart Failure Guidelines For your Daily Practice Juan M. Aranda, Jr., MD, FACC, FHFSA Professor of Medicine Director of Heart Failure and Cardiac Transplantation University of Florida College of Medicine
More informationCARDIOMEMS HF SYSTEM HOW TO STAY ABOVE HEART FAILURE: TALKING TO YOUR PATIENT ABOUT THE
CARDIOMEMS HF SYSTEM HOW TO STAY ABOVE HEART FAILURE: TALKING TO YOUR PATIENT ABOUT THE CARDIOMEMS HF SYSTEM This overview of clinical workflow best practices and patient talking points is based on in-depth
More informationHeart Failure 101 The Basic Principles of Diagnosis & Management
Heart Failure 101 The Basic Principles of Diagnosis & Management Bill Tran, MD Non Invasive Cardiologist February 24, 2018 What the eye does not see and the mind does not know, does not exist. DH Lawrence
More informationTreat the Numbers and Not the Patients The Revolution of Pulmonary Artery Pressure Guided Medical Therapy in Heart Failure
Treat the Numbers and Not the Patients The Revolution of Pulmonary Artery Pressure Guided Medical Therapy in Heart Failure Stan Skaluba, M.D. Advanced Heart Failure Program Advocate Heart Institute AHI
More informationCongestive Heart Failure: Turning Failure Into Success. Wednesday, Feb 21, 2018
Congestive Heart Failure: Turning Failure Into Success Wednesday, Feb 21, 2018 Welcome & Opening Remarks Robert T. Smith, MD, FACP Introduction of Conference Theme & Speaker Brian Schwartz, MD, FACP, FACC,
More informationKeynote Address II Managing Acute Heart Failure: What Can We Do to Improve Outcomes?
Keynote Address II Managing Acute Heart Failure: What Can We Do to Improve Outcomes? 24 th Annual San Diego Heart Failure Symposium June 1-2, 2018 La Jolla, CA Barry Greenberg, MD Distinguished Professor
More informationRevascularization In HFrEF: Are We Close To The Truth. Ali Almasood
Revascularization In HFrEF: Are We Close To The Truth Ali Almasood HF epidemic 1-2% of the population have HF At least one-half have heart failure with reduced ejection fraction (HF- REF) The most common
More informationDisclosures. Objectives 3/27/2017. Beki Angerstein ACNP DNP FAHA CHFN Director Advanced Practice Summa Health System
Beki Angerstein ACNP DNP FAHA CHFN Director Advanced Practice Summa Health System Disclosures Previously employed by Abbott in past 12 months Objectives Review implantable device diagnostic data for risk
More informationValue of Continuous Monitoring of. Pulmonary Artery Pressures in Heart Failure. Financial Relationship Disclosure. Liviu Klein MD, MS
Liviu Klein MD, MS Associate Professor Director, Mechanical Circulatory Support and Heart Failure Device Programs Liviu.Klein@ucsf.edu Value of Continuous Monitoring of Pulmonary Artery Pressures in Heart
More informationCARDIOMEMS HF SYSTEM PATIENT MANAGEMENT CLINICAL QUICK GUIDE
CARDIOMEMS HF SYSTEM PATIENT MANAGEMENT CLINICAL QUICK GUIDE CLINICAL QUICK GUIDE CARDIOMEMS HF SYSTEM Information in this Clinical Quick Guide is based on: In-depth clinician feedback 1 on the common
More informationHeart Failure Management. Waleed AlHabeeb, MD, MHA Assistant Professor of Medicine Consultant Heart Failure Cardiologist
Heart Failure Management Waleed AlHabeeb, MD, MHA Assistant Professor of Medicine Consultant Heart Failure Cardiologist Heart failure prevalence is expected to continue to increase¹ 21 MILLION ADULTS WORLDWIDE
More informationWHAT S NEW IN HEART FAILURE
WHAT S NEW IN HEART FAILURE Drugs, Devices and Diagnostics John M. Herre, MD, FACC, FACP Director, Advanced Heart Failure Program Sentara Helathcare Professor of Medicine Eastern Virginia Medical School
More informationEvidence of Baroreflex Activation Therapy s Mechanism of Action
Evidence of Baroreflex Activation Therapy s Mechanism of Action Edoardo Gronda, MD, FESC Heart Failure Research Center IRCCS MultiMedica Cardiovascular Department Sesto S. Giovanni (Milano) Italy Agenda
More informationUPDATES IN MANAGEMENT OF HF
UPDATES IN MANAGEMENT OF HF Jennifer R Brown MD, MS Heart Failure Specialist Medstar Cardiology Associates DC ACP Meeting Fall 2017 Disclosures: speaker bureau for novartis speaker bureau for actelion
More informationHeart Failure Background, recognition, diagnosis and management
Heart Failure Background, recognition, diagnosis and management Speaker bureau: Novartis At the conclusion of this activity, participants will be able to: Recognize signs and symptoms of heart failure
More informationHeart Failure A Team Approach Background, recognition, diagnosis and management
Heart Failure A Team Approach Background, recognition, diagnosis and management Speaker bureau: Novartis At the conclusion of this activity, participants will be able to: Recognize signs and symptoms of
More informationPart I: Hemodynamic Monitoring for Heart Failure: Background and Rationale Akshay S. Desai MD, MPH
Hemodynamic Monitoring for Heart Failure Patients Am J Cardiol 2015; vol.116 open-access Web publication. Part I: Hemodynamic Monitoring for Heart Failure: Background and Rationale Figures 1 19 References
More informationHeart Failure Therapies State of the Art: 2018
Heart Failure Therapies State of the Art: 2018 Andrew J. Sauer MD Associate Professor of Medicine Division Director Advanced Heart Failure Therapies & Cardiac Transplantation University of Kansas Medical
More informationEjection Fraction in Patients With Chronic Heart Failure. Diastolic Heart Failure or Heart Failure with Preserved Ejection Fraction
Diastolic Heart Failure or Heart Failure with Preserved Ejection Fraction Keith Miller MD Diastolic Heart Failure Risk Factors Common Risk Factors Aging Female gender Obesity Hypertension Diabetes mellitus
More informationAtrial Fibrillation and Heart Failure: A Cause or a Consequence
Atrial Fibrillation and Heart Failure: A Cause or a Consequence Rajat Deo, MD, MTR Assistant Professor of Medicine Division of Cardiology, Electrophysiology Section University of Pennsylvania November
More informationFrom PARADIGM-HF to Clinical Practice. Waleed AlHabeeb, MD, MHA Associate Professor of Medicine President of the Saudi Heart Failure Group
From PARADIGM-HF to Clinical Practice Waleed AlHabeeb, MD, MHA Associate Professor of Medicine President of the Saudi Heart Failure Group PARADIGM-HF: Inclusion Criteria Chronic HF NYHA FC II IV with LVEF
More information2018 Update on Heart Failure Management. Where we are today.
2018 Update on Heart Failure Management Where we are today. Mitchell Saltzberg, MD Medical Director Comprehensive Heart Failure and Transplant Program HEART FAILURE 1 Current State of Heart Failure 5.7M
More informationThe Value of Multidisciplinary Heart Failure Programs. Joseph G. Rogers, MD Professor of Medicine Division of Cardiology Duke University
The Value of Multidisciplinary Heart Failure Programs Joseph G. Rogers, MD Professor of Medicine Division of Cardiology Duke University The Epidemiology of Heart Failure in the United States American Heart
More informationEffects of heart rate reduction with ivabradine on left ventricular remodeling and function:
Systolic Heart failure treatment with the If inhibitor ivabradine Trial Effects of heart rate reduction with ivabradine on left ventricular remodeling and function: results of the SHIFT echocardiography
More informationPearls in Acute Heart Failure Management
Pearls in Acute Heart Failure Management Best Practices Juan M. Aranda Jr., M.D. Professor of Medicine Medical Director of Heart Failure/ Transplant Program University of Florida College of Medicine Disclosures:
More informationCHF and Managing Post Hospital
CHF and Managing Post Hospital Nancy Mesiha, MD, FACC, MACM PD, Cardiovascular Fellowship Program St John Hospital & Medical Center Cardiology Associates of Michigan S No Disclosures Objectives S Statistics
More informationComparison of clinical trials evaluating cardiac resynchronization therapy in mild to moderate heart failure
HOT TOPIC Cardiology Journal 2010, Vol. 17, No. 6, pp. 543 548 Copyright 2010 Via Medica ISSN 1897 5593 Comparison of clinical trials evaluating cardiac resynchronization therapy in mild to moderate heart
More informationHFpEF, Mito or Realidad?
HFpEF, Mito or Realidad? Ileana L. Piña, MD, MPH Professor of Medicine and Epidemiology/Population Health Associate Chief for Academic Affairs -- Cardiology Montefiore-Einstein Medical Center Bronx, NY
More informationHEART FAILURE IN WOMEN. Marian Limacher, MD Division of Cardiovascular Medicine University of Florida
HEART FAILURE IN WOMEN Marian Limacher, MD Division of Cardiovascular Medicine University of Florida Outline Epidemiology Clinical Overview Why HF is such a challenge State of the Field Heart Failure Adjudication
More informationSystolic Dysfunction Clinical /Hemodynamic Guide for Management From Neprilysin Inhibitors to Ivabradine
Systolic Dysfunction Clinical /Hemodynamic Guide for Management From Neprilysin Inhibitors to Ivabradine Donna Mancini MD Choudhrie Professor of Cardiology Columbia University Speaker Disclosure Amgen
More informationEffects of heart rate reduction with ivabradine on left ventricular remodeling and function:
Systolic Heart failure treatment with the If inhibitor ivabradine Trial Effects of heart rate reduction with ivabradine on left ventricular remodeling and function: results of the SHIFT echocardiography
More informationTherapeutic Targets and Interventions
Therapeutic Targets and Interventions Ali Valika, MD, FACC Advanced Heart Failure and Pulmonary Hypertension Advocate Medical Group Midwest Heart Foundation Disclosures: 1. Novartis: Speaker Honorarium
More informationΧριστίνα Χρυσοχόου Καρδιολόγος Επι,Α Καρδιολογική Κλινική Πανεπιστηίου Αθηνών, ΙΓΝΑ
Χριστίνα Χρυσοχόου Καρδιολόγος Επι,Α Καρδιολογική Κλινική Πανεπιστηίου Αθηνών, ΙΓΝΑ Digitalisis a genus of about 20 species of herbaceousperennials, shrubs, and biennialsthat are commonly called foxgloves.
More informationUpdates in Congestive Heart Failure
Updates in Congestive Heart Failure GREGORY YOST, DO JOHNSTOWN CARDIOVASCULAR ASSOCIATES 1/28/2018 Disclosures Edwards speaker on Sapien3 valves (TAVR) Stages A-D and NYHA Classes I-IV Stage A: High risk
More informationHeart failure (HF) is a complex clinical syndrome that results in the. impairment of the heart s ability to fill or to pump out blood.
Introduction: Heart failure (HF) is a complex clinical syndrome that results in the impairment of the heart s ability to fill or to pump out blood. As of 2013, an estimated 5.8 million people in the United
More informationState-of-the-Art Management of Chronic Systolic Heart Failure
State-of-the-Art Management of Chronic Systolic Heart Failure Michael McCulloch, MD 17 th Annual Cardiovascular Update Intermountain Medical Center December 16, 2017 Disclosures: I have no financial disclosures
More informationHealth Care Providers:
Health Care Providers: 1. What is SERVE-HF? SERVE-HF is a multinational, multi-center, randomized controlled trial designed to assess whether treatment of predominantly Central Sleep Apnea with Adaptive
More informationHow might biomarkers and other strategies help establish adequacy of care?
How might biomarkers and other strategies help establish adequacy of care? James L. Januzzi, Jr, MD, FACC, FESC Hutter Family Professor of Medicine, Harvard Medical School Cardiology Division, Massachusetts
More informationCharles Spencer MD, FRCP Consultant Cardiologist Mid Staffs NHSFT
Charles Spencer MD, FRCP Consultant Cardiologist Mid Staffs NHSFT Key Messages Heart Failure is Common Heart failure is complex Heart Failure is a major issue for the NHS Heart Failure has a worse prognosis
More informationSaudi Heart Failure Guidelines. Waleed AlHabeeb, MD, MHA Consultant Heart Failure Cardiologist President of the Saudi Heart Failure Group
Saudi Heart Failure Guidelines Waleed AlHabeeb, MD, MHA Consultant Heart Failure Cardiologist President of the Saudi Heart Failure Group Heart Failure Expert committee The Heart Failure Expert Committee,
More informationThe Dark Side of the Moon: Heart Failure with Preserved Ejection Fraction
The Dark Side of the Moon: Heart Failure with Preserved Ejection Fraction Felix K. Yam, Pharm.D., M.A.S., BCPS-AQ Cardiology Associate Clinical Professor UC San Diego Skaggs School of Pharmacy and Pharmaceutical
More informationSummary/Key Points Introduction
Summary/Key Points Introduction Scope of Heart Failure (HF) o 6.5 million Americans 20 years of age have HF o 960,000 new cases of HF diagnosed annually o 5-year survival rate for HF is ~50% Classification
More informationAmbulatory Monitoring of Pulmonary Artery Pressure: Why and How 18 th Annual San Diego Heart Failure Symposium
Ambulatory Monitoring of Pulmonary Artery Pressure: Why and How 18 th Annual San Diego Heart Failure Symposium Primary Care and Internal Medicine Physicians January 19-20, 2018 Howie Tran MD, FACC Assistant
More informationDISCLOSURES ACHIEVING SUCCESS THROUGH FAILURE: UPDATE ON HEART FAILURE WITH PRESERVED EJECTION FRACTION NONE
ACHIEVING SUCCESS THROUGH FAILURE: UPDATE ON HEART FAILURE WITH PRESERVED EJECTION FRACTION Lori M. Tam, MD Providence Heart Institute DISCLOSURES NONE 1 OUTLINE Systolic vs. Diastolic Heart Failure New
More informationESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure
Patients t with acute heart failure frequently develop chronic heart failure Patients with chronic heart failure frequently decompensate acutely ESC Guidelines for the Diagnosis and A clinical response
More informationΒασιλική Κατσή. Καρδιολόγος ΓNA Ιπποκράτειο
Βασιλική Κατσή Καρδιολόγος ΓNA Ιπποκράτειο 40 διαφάνειες ίσως Και πρέπει και δικαιούνται ΣΥΧΝΟΤΕΡΑ 76-96% 3343 men and 4199 women followed for 25 years, no HF at baseline BP (mm Hg)
More informationWhat s new in 2016 Guidelines of the European Society of Cardiology? HEART FAILURE. Marc Ferrini (Lyon Fr)
What s new in 2016 Guidelines of the European Society of Cardiology? HEART FAILURE Marc Ferrini (Lyon Fr) Palermo (I) 1 04 2017 Consulting Fees, Honoraria: BAYER PHARMA BOEHRINGER INGELHEIM BRISTOL MEYERS
More informationProposal to national Health Technology Assessments (Norway)
Forslagsskjema, Versjon 2 17. mars 2014 Proposal to national Health Technology Assessments (Norway) Proposals to national Health Technology Assessments (HTA) will be published in its entirety. Please contact
More informationSystolic and Diastolic Dysfunction: Four Upcoming Challenges
Systolic and Diastolic Dysfunction: Four Upcoming Challenges Promoting Early Detection HFrEF: Beyond Neprilysin/Enalapril HFmrEF: What Is It and How Does One Manage It? HFpEF: Etiopathogenetic Role and
More informationClinical Policy Title: Wireless pulmonary artery pressure monitoring devices for heart failure
Clinical Policy Title: Wireless pulmonary artery pressure monitoring devices for heart failure Clinical Policy Number: 04.01.08 Effective Date: January 1, 2017 Initial Review Date: September 21, 2016 Most
More informationLIVE WEBINAR Boston Scientific External Use. Show and Distribute CRM AA-June 2017
LIVE WEBINAR www.hf-channel.com 1 LIVE WEBINAR AGENDA 2 The use of diagnostics in the management of HF Patients Prof. Martin Cowie 3 The patient journey is complex 4 Remote monitoring Initially, telephone
More informationBurden of Mitral Regurgitation (MR) in the US Why is This Important?
Secondary (Functional) Mitral Regurgitation as a Target for Heart Failure Therapy William T. Abraham, MD, FACP, FACC, FAHA, FESC, FRCP Professor of Medicine, Physiology, and Cell Biology Chair of Excellence
More informationBeyond ACE-inhibitors for Heart Failure. Jacob Townsend, MD NCVH Birmingham 2015
Beyond ACE-inhibitors for Heart Failure Jacob Townsend, MD NCVH Birmingham 2015 % Decrease in Mortality Current Therapy HFrEF 0% Angiotensin receptor blocker ACE inhibitor Beta blocker Mineralocorticoid
More informationKnown Actions of Digoxin
Known Actions of Digoxin Hemodynamic effects in heart failure Increases cardiac output, no effect on blood pressure Decreases PCWP Increases LVEF (
More informationΟξεία καρδιακή ανεπάρκεια: Ποιες παράμετροι συμβάλλουν στη διαστρωμάτωση κινδύνου των ασθενών;
Οξεία καρδιακή ανεπάρκεια: Ποιες παράμετροι συμβάλλουν στη διαστρωμάτωση κινδύνου των ασθενών; Γ. Φιλιππάτος, MD, FACC, FESC, FCCP Επ. Καθηγητής Καρδιολογίας Πανεπ. Αθηνών Clinical Outcomes in Patients
More informationHFpEF. April 26, 2018
HFpEF April 26, 2018 (J Am Coll Cardiol 2017;70:2476 86) HFpEF 50% or more (40-71%) of patients with CHF have preserved LV systolic function. HFpEF is an increasingly frequent hospital discharge. Outcomes
More informationHeart Failure Medications: Who Needs What Drug Now? Disclosures
Heart Failure Medications: Who Needs What Drug Now? Simon Jackson MD FRCPC MMedEd Professor of Medicine (Cardiology) Dalhousie 1 Disclosures Honoraria and educational grants from: Actelion (medications
More informationIntroduction to Heart Failure. Mauricio Velez, M.D. Transplant Cardiologist APACVS 2018 April 5-7 Miami, FL
Introduction to Heart Failure Mauricio Velez, M.D. Transplant Cardiologist APACVS 2018 April 5-7 Miami, FL Disclosures No relevant financial relationships to disclose Objectives and Outline Define heart
More informationThe ACC Heart Failure Guidelines
The ACC Heart Failure Guidelines Fakhr Alayoubi, Msc,R Ph President of SCCP Cardiology Clinical Pharmacist Assistant Professor At King Saud University King Khalid University Hospital Riyadh-KSA 2017 ACC/AHA/HFSA
More informationGender and cardiac resynchronization therapy. Chairs: David Heaven & Belinda Green. Gender and Cardiac Resynchronisation Therapy
Electrophysiology Gender and cardiac resynchronization therapy Dean Boddington Chairs: David Heaven & Belinda Green Gender and Cardiac Resynchronisation Therapy Dean Boddington Tauranga Hospital 1 Disclosure/Warning
More information2/15/2017. Disclosures. Heart Failure = Big Problem. Heart Failure Update Reducing Hospitalizations and Improving Patient Outcomes 02/18/2017
Heart Failure Update Reducing Hospitalizations and Improving Patient Outcomes 02/18/2017 Julio A. Barcena, M.D. South Miami Heart Specialists Disclosures I have no relevant commercial relationships to
More informationEjection across stenotic aortic valve requires a systolic pressure gradient between the LV and aorta. This places a pressure load on the LV.
Valvular Heart Disease Etiology General Principles Cellular and molecular mechanism of valve damage Structural pathology Functional pathology - stenosis/regurgitation Loading conditions - pressure/volume
More informationConflicts of Interest
Managing Heart Failure Utilizing Ambulatory PA Pressure Monitoring Benjamin Johnson, MD CentraCare Heart & Vascular Center SJM-MEM-0616-0248c Item approved for U.S. use only. 1 1 Conflicts of Interest
More informationNew Agents for Heart Failure: Ivabradine Jeffrey S. Borer, MD
New Agents for Heart Failure: Ivabradine Jeffrey S. Borer, MD Professor of Medicine, Cell Biology, Radiology and Surgery Director, The Howard Gilman Institute for Heart Valve Disease and the Schiavone
More informationTaking the FAILURE out of CHF Denzil Moraes, MD, FACC
Taking the FAILURE out of CHF Denzil Moraes, MD, FACC Our Lady of the Lake Heart & Vascular Institute CHAIR Heart Failure Committee The Burden of Heart Failure Prevalence of Heart Failure ~ Currently 5.7
More informationTreating HF Patients with ARNI s Why, When and How?
Treating HF Patients with ARNI s Why, When and How? 19 th Annual San Diego Heart Failure Symposium for Primary Care Physicians January 11-12, 2019 La Jolla, CA Barry Greenberg M.D. Distinguished Professor
More informationNew in Heart Failure SGK autumn session 2012
New in Heart Failure SGK autumn session 2012 Roger Hullin Cardiology Department of Internal Medicine Centre Universitaire Hospitaler Vaudois University of Lausanne ESC Heart Failure Guidelines 2012 Classes
More informationHFpEF 2016 : Comorbidities and Outcomes
HFpEF 2016 : Comorbidities and Outcomes Christopher M. O Connor, MD, FACC CEO and Executive Director, Inova Heart and Vascular Institute Professor of Medicine, Duke University Editor in Chief, JACC: Heart
More informationClinical Policy Title: Wireless pulmonary artery pressure monitoring devices for heart failure
Clinical Policy Title: Wireless pulmonary artery pressure monitoring devices for heart failure Clinical Policy Number: 04.01.08 Effective Date: January 1, 2017 Initial Review Date: September 21, 2016 Most
More informationHeart Failure with Reduced EF. Dino Recchia, MD, FACC, FHFSA
Heart Failure with Reduced EF Dino Recchia, MD, FACC, FHFSA Heart Failure HF is the end phenotype of almost all CV disorders Complex clinical syndrome resulting from any structural or functional impairment
More informationEjection across stenotic aortic valve requires a systolic pressure gradient between the LV and aorta. This places a pressure load on the LV.
Valvular Heart Disease General Principles Etiology Cellular and molecular mechanism of valve damage Structural pathology Functional pathology - stenosis/regurgitation Loading conditions - pressure/volume
More informationThe Approach to Patients with Heart Failure and Mid-Range (40-50%) Ejection Fraction (HFmrEF)
The Approach to Patients with Heart Failure and Mid-Range (40-50%) Ejection Fraction (HFmrEF) 22 nd Annual Heart Failure 2018 an Update on Therapy April 21, 2018 Los Angeles, CA Barry Greenberg, M.D. Distinguished
More informationTopic Page: congestive heart failure
Topic Page: congestive heart failure Definition: congestive heart f ailure from Merriam-Webster's Collegiate(R) Dictionary (1930) : heart failure in which the heart is unable to maintain an adequate circulation
More informationΟξεία Καρδιακή Ανεπάρκεια: Κλινική εικόνα, ταξινόμηση κινδύνου & προγνωστικοί δείκτες
Οξεία Καρδιακή Ανεπάρκεια: Κλινική εικόνα, ταξινόμηση κινδύνου & προγνωστικοί δείκτες Στράτος Θεοφιλογιαννάκος, MD, PhD Ιατρείο Καρδιακής Ανεπάρκειας, Γ Πανεπιστημιακή Καρδιολογική Κλινική ΑΠΘ, ΠΓΝ Ιπποκράτειο
More informationA. Study Purpose and Rationale Background
A. Study Purpose and Rationale Background Congestive heart failure (CHF) affects roughly 6 million people in the United States with incidence rates rising steadily. Of even more concern, however, is the
More informationWhat s New in the Treatment of Heart Failure March 28, 2018 Ohio Chapter-ACC
What s New in the Treatment of Heart Failure March 28, 2018 Ohio Chapter-ACC Randall C Starling MD MPH FACC FAHA FESC FHFSA Professor of Medicine Kaufman Center for Heart Failure Heart and Vascular Institute
More informationNovel Device Functions for CRT Optimization and Heart Failure Monitoring
HK-IN-PACE Heart Rhythm Refresher Course 2014 - Module 2 Heart Failure and CRT Novel Device Functions for CRT Optimization and Heart Failure Monitoring Dr. Chan Kit MBBS, MRCP, FHKAM, FHKCP, CCEP, CCDS
More informationAccepted Manuscript. Tolvaptan in Acute Heart Failure: Time to Move On. Randall C. Starling, MD MPH, James B. Young, MD
Accepted Manuscript Tolvaptan in Acute Heart Failure: Time to Move On Randall C. Starling, MD MPH, James B. Young, MD PII: S0735-1097(16)35324-4 DOI: 10.1016/j.jacc.2016.09.005 Reference: JAC 22962 To
More informationHeart failure: what should be changed? Prof. Gerasimos Filippatos Attikon University Hospital
Heart failure: what should be changed? Prof. Gerasimos Filippatos Attikon University Hospital Disclosures Chair or Committee Member of trials or registries sponsored by Novartis, Bayer, Cardiorentis, Servier
More informationHeart Failure Management: Integration of Device Sensor Data into Clinical Practice
Heart Failure Management: Integration of Device Sensor Data into Clinical Practice William T. Abraham, MD, FACP, FACC, FAHA Professor of Medicine, Physiology, and Cell Biology Chair of Excellence in Cardiovascular
More informationCitation. What is New in the 2013 ACC/AHA HF Guideline. Dimensions in Heart and Vascular Care Penn State Heart and Vascular Institute
What is New in the 2013 ACC/AHA HF Guideline Dimensions in Heart and Vascular Care Penn State Heart and Vascular nstitute Friday October 18, 2013 Barry S. Clemson, MD Associate Professor of Medicine Penn
More informationAdvances in the Monitoring & Treatment of Heart Failure
Advances in the Monitoring & Treatment of Heart Failure Darrell J. Solet, MD - Cardiologist & Medical Director - Cardiovascular Institute of the South of Morgan City, Louisiana - Clinical Assistant Professor
More informationESC Paris Remote monitoring of cardiac rhythm devices: present and future HEART FAILURE
ESC Paris 11-08-30 Remote monitoring of cardiac rhythm devices: present and future HEART FAILURE Frieder Braunschweig MD PhD FESC Associate Professor of Cardiology Karolinska University Hospital Stockholm,
More informationThe Heart in Concert: Do Other Organs Matter? The Liver
The Heart in Concert: Do Other Organs Matter? The Liver Pascal de Groote CHRU Lille France DECLARATION OF CONFLICT OF INTEREST I have no conflict of interest with this presentation Impact of liver disease
More informationManagement Strategies for Advanced Heart Failure
Management Strategies for Advanced Heart Failure Mary Norine Walsh, MD, FACC Medical Director, HF and Cardiac Transplantation St Vincent Heart Indianapolis, IN USA President American College of Cardiology
More informationGerasimos Filippatos MD, FESC, FCCP, FACC
Gerasimos Filippatos MD, FESC, FCCP, FACC Head of HF Unit at Athens University Hospital, Greece President (2014-2016) of the HF Association of the European Society of Cardiology (ESC) Served as Chair of
More informationHeart Failure. Disclosures. Objectives: 8/28/2017. This is not a virus. It doesn t go away. none
Heart Failure This is not a virus. It doesn t go away Shelley Wojtaszczyk, FNP-C, CHFN Heart Failure Program Coordinator Mercy Hospital of Buffalo none Disclosures Objectives: Defining and identifying
More informationQUESTION-BY-QUESTION INSTRUCTIONS FOR MMCC HEART FAILURE FINAL DIAGNOSIS FORM (HDX)
QUESTION-BY-QUESTION INSTRUCTIONS FOR MMCC HEART FAILURE FINAL DIAGNOSIS FORM (HDX) HDX, Version A, 09-10-2009 HDX QxQ An MMCC Heart Failure Diagnosis Form (HDX) is completed for each ARIC Heart Failure
More informationNew heart failure RCT: Update on BeAT-HF in the US
New heart failure RCT: Update on BeAT-HF in the US Michael R. Zile, MD Charles Ezra Daniel Professor of Medicine Medical University of South Carolina Chief, Division of Cardiology RHJ Department of Veterans
More information