BSH Heart Failure Day for Revalidation and Training 2017
|
|
|
- Sharleen Hall
- 5 years ago
- Views:
Transcription
1 BSH Heart Failure Day for Revalidation and Training 2017 Presentation title: Case Presentation cardio-oncology Speaker: Mark Drury-Smith Conflicts of interest: None
2 British Society of Heart Failure 2017 Case Presentation Cardio-oncology Mark Drury-Smith MB CHB MRCP Cardiology SpR University Hospital of Wales
3 Patient: 27yr 27 year old female patient ALL diagnosed 1986 (age 4yrs) High dose anthracyclines (>250mg/m 2 ) + mediastinal radiotherapy cure Follow-up in specialist late effects clinic (paediatric oncology) Summer 2009; age 27yrs I want a baby! Open access echo: Chemotherapy,?LV function
4 Echo: 20yrs post cancer therapy Report Anterior wall hypokinesia Preserved LV function enjoy!
5 Patient: some months later Pregnant Progressive dyspnoea + orthopnoea: Last month of pregnancy Normal vaginal delivery at term Day 2 post delivery Admitted with decompensated heart failure Tachyopnoeic (20resp/min) & tachycardiac (110bpm) at rest Peripherally cold and hypotensive (90/60mmHg) Fluid overloaded: JVP (10cm), pulmonary crepitations + S 3
6 Initial Investigations Haematology: Hb (10.3), WCC/PLT: normal Biochemistry: U/E, LFT, Glu, TnI, CRP: normal
7 Acute Management Forrester Classification Good response to acute therapy 4-6l negative fluid balance Pulse: 100SR, BP: 90/60, chest clearer, S 3 remains Introduction of conventional medical therapy Carvedilol (first), then Lisinopril Oral Frusemide + Spironolactone
8 Extra Investigations: early post delivery Cardiomyopathy Investigations Biochem: normal Haematol: normal Virology: normal Angiogram: normal VQ scan: normal Pedigree: normal CMR: no LGE
9 Extra Investigations: early post delivery Severe LV systolic function EF 10% Significant mitral regurgitation
10 Early Management Introduced to HF nursing service Weekly reviews to optimise medical therapy, community support, education No breast feeding Progress at 4 months NYHA II Optimised medical therapy Carvedilol: 50mg bd Lisinopril: 20mg od Spironolactone: 25mg od Frusemide: 40mg bd Ivabradine: NO DATA (pre-shift)?an additional option (HR 90bpm) Echo Improved systolic function; EF 20% ECG Sinus rhythm 90bpm LBBB QRS: 158msec
11 Device Therapy ICD CRT NYHA III/IV OMT Patient fulfilled the NICE guidelines for implantation of a biventricular defibrillator Sinus rhythm Dyssynchrony QRS >150 alone QRS echo EF 35% NEJM 2005;352:225
12 Current Device Therapy Guidance
13 Biventricular defibrillator
14 Post biventricular defibrillator Improvement in patients symptoms No Orthopnoea or PND No longer peripheral oedema Improved exercise tolerance
15 Echo: 6 month post biventricular defibrillator Significant improvement in LV function (EF 40-45%) Improvement in MR
16 Echo: 1 year post biventricular defibrillator
17 Echo: Most recent 2017
18 Current Situation: years old now No symptoms of breathlessness, no PND/ orthnpnoea/ ankle swelling. NYHA class II EF 45%
19 Current Situation: 2017 Life-long medical and device therapy Surgical sterilisation Biventricular defibrillator approaching end of battery life.
20 2017 Options.. Change like for like Downgrade biventricular ICD to pacemaker Patients wishes Changed like for like
21 Learning/Discussion points Long-term surveillance of childhood cancer survivors Role of open access echo Counselling patients at time of pregnancy Mechanism of LVSD: peri-partum cardiomyopathy or pregnancy associated Does optimal medical therapy pre-device therapy include ivabradine What to do if EF >30% at time of device battery depletion and no ICD therapies
22 questions?
Advanced Heart Failure Management. Dr Andrew Hannah Consultant Cardiologist Aberdeen Royal Infirmary
Advanced Heart Failure Management Dr Andrew Hannah Consultant Cardiologist Aberdeen Royal Infirmary Grading of heart failure Mr WY age 73 3/12 dyspnoea, fatigue and some ankle oedema PMH: hypertension
Congestive Heart Failure or Heart Failure
Congestive Heart Failure or Heart Failure Dr Hitesh Patel Ascot Cardiology Group Heart Failure Workshop April, 2014 Question One What is the difference between congestive heart failure and heart failure?
Cardiology. Presented by: Dr Paul Bethell GP Lead for Planned Care
Cardiology Presented by: Dr Paul Bethell GP Lead for Planned Care 16 th April 2015 Integrated Cardiology Service for Ipswich and East Suffolk CCG IHT 6 consultants - all with specialist areas PCI CoW rapid
Heart Failure from a GP perspective
Heart Failure from a GP perspective Jane Gilmour, Alison Wright Clinical Nurse Specialists for Heart Failure The Heart failure Team Dr Ganesan Kumar- Consultant Cardiologist Dr D Maras- Staff Grade Cardiology
8:30-10:30 WS #4: Cardiology :00-13:00 WS #11: Cardiology 101 (Repeated)
Professor Ralph Stewart Cardiologist Auckland City Hospital Green Lane Cardiovascular Research Unit Auckland Heart Group Fiona Stewart Cardiologist Green Lane Hospital National Women's Hospital Professor
The NEW Heart Failure Guidelines
The NEW Heart Failure Guidelines Daily Practice HF scenario of the Case Presentations HF as a complex and heterogeneous syndrome Several proposed pathophysiological mechanisms involving the heart and the
CRT-P or CRT-D From North Alberta to Nairobi
CRT-P or CRT-D From North Alberta to Nairobi Dr Mzee Ngunga Aga Khan University Hospital Nairobi KCS Congress: Impact through collaboration CONTACT: Tel. +254 735 833 803 Email: kcardiacs@gmail.com Web:
State-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
Heart Failure Update. Bibiana Cujec MD May 2015
Heart Failure Update Bibiana Cujec MD May 2015 Disclosures Participation in clinical trial GUIDE IT (BNP in management of HF) Plan Review of new trials/ccs guidelines Management of heart failure: cases
BSH Annual Autumn Meeting 2017
BSH Annual Autumn Meeting 2017 Presentation title: The Development of CRT Speaker: John GF Cleland Conflicts of interest: I have received research support and honoraria from Biotronik, Boston Scientific,
Heart failure: Local solutions for a growing problem
Heart failure: Local solutions for a growing problem Dr Andrew Hannah Consultant Cardiologist ARI What is heart failure? A clinical syndrome comprising of dyspnoea, fatigue or fluid retention due to cardiac
Cardiac resynchronisation therapy (biventricular pacing) for the treatment of heart failure
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Health Technology Appraisal for the treatment of heart failure Final scope Appraisal objective To appraise the clinical and cost effectiveness of cardiac
Theme - Women and Heart Failure
HeFSSA Practitioners Program 2015 Theme - Women and Heart Failure 08:00-08:20 Registration & Breakfast 08:20-08:25 Welcome and Thank You to Sponsors 08:25-08:30 HeFSSA smartphone patient app (video) 08:30-09:15
Heart Failure. GP Update Refresher 18 th January 2018
GP Update Refresher 18 th January 2018 Heart Failure Dr. Alexander Lyon Senior Lecturer and Consultant Cardiologist Clinical Lead in Cardio-Oncology Royal Brompton Hospital, London UK President of British
Heart Failure A Disease for the Internist?
Heart Failure A Disease for the Internist? Dr Chris Davidson Sussex Cardiac Centre BRIGHTON UK Hot Topics in Heart Failure Drug treatments Valsartan / neprilysin inhib Investigations BNP and others Devices
Heart Failure Acute and Chronic
Heart Failure Acute and Chronic Cardiac Services in Wales Acute Heart Failure standards Chronic Heart Failure standards NWIS admissions/readmission data NHFA data 2016-17 Echo accessibility BNP availability
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Implantable cardioverter defibrillators for the treatment of arrhythmias and cardiac resynchronisation therapy for the treatment of heart failure (review
Management 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
The Patient Journey through Heart Failure Primary Care Handout
The Patient Journey through Heart Failure Primary Care Handout Dr Ameet Bakhai Consultant Cardiologist - 2015 Background Observed 5 year survival rates for heart failure patients are 26-52% worse than
How to set up a device clinic for heart failure patients Dr C Sridevi
How to set up a device clinic for heart failure patients Dr C Sridevi Consultant Cardiologist /Electro physiologist CARE Hospitals, CARE Foundation Need to set up a device clinic for heart failure patients
Inverclyde CHP Protected Learning Event- Heart Failure
Inverclyde CHP Protected Learning Event- Heart Failure 14:00 14:05 14:05 14:20 14:20 14:30 14:30 15:10 15:10 15:30 15:30 15:50 15:50 16:05 16:05 16:35 Welcome & Introduction Paul Forsyth (HF Pharmacist)
Cardiac Devices CRT,ICD: Who is and is not a Candidate? Who Decides
Cardiac Devices CRT,ICD: Who is and is not a Candidate? Who Decides Colette Seifer MB(Hons) FRCP(UK) Associate Professor, University of Manitoba, Cardiologist, Cardiac Sciences Program, St Boniface Hospital
Heart Failure (HF) - Primary Care Flow Charts. Pre diagnosis Symptoms or signs suggestive of HF
Heart Failure (HF) - Primary Care Flow Charts Pre diagnosis Symptoms or signs suggestive of HF 12 lead ECG Normal examination and 12 lead ECG HF highly unlikely Abnormal 12 lead ECG HF Possible Arrange
Heart Failure (HF) - Primary Care Flow Charts. Symptoms or signs suggestive of HF. Pre diagnosis. Refer to the Heart Failure Clinic at VHK for
Heart Failure (HF) - Primary Care Flow Charts Pre diagnosis Symptoms or signs suggestive of HF 12 lead ECG Normal examination and 12 lead ECG HF highly unlikely Abnormal 12 lead ECG HF Possible Arrange
ICD Guidelines: who benefits from an ICD?
ICD Guidelines: who benefits from an ICD? Matthew Bennett Cardiac Electrophysiologist Vancouver Coastal Health, Device Lead Associate Professor, UBC Matthew.bennett@vch.ca Disclosures I have research collaborations
MADIT Studies: CRT in the Non-LBBB Patient and Other Findings. Arthur J. Moss, MD
MADIT Studies: CRT in the Non-LBBB Patient and Other Findings Arthur J. Moss, MD University of Rochester Medical Cntr. Rochester, NY 13 th Annual New Frontiers in Heart Failure Rx NYC, NY January 26, 2013
Importance of CRT team for optimization of the results: a European point of view
Importance of CRT team for optimization of the results: a European point of view Matteo Bertini, MD, PhD Arcispedale S. Anna Azienda Ospedaliero-Universitaria Cona-Ferrara No conflict of interest to declare
All in the Past? Win K. Shen, MD Mayo Clinic Arizona Controversies and Advances in CV Diseases Cedars-Sinai Heart Institute, MFMER
ICD for NICM All in the Past? Win K. Shen, MD Mayo Clinic Arizona Controversies and Advances in CV Diseases Cedars-Sinai Heart Institute, 2017 2017 MFMER 3686275-1 DISCLOSURE Relevant Financial Relationship(s)
ICD deactivation Patient Journey
ICD deactivation Patient Journey Julia decourcey Consultant Nurse Kings College Hospital 05.05.10 Internal Cardiac Defibrillator Used in pts at high risk of sudden cardiac death ie EF > 30% Previous survivor
Charles 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
2017 CCS HF Guidelines Medical Therapy for HFrEF When What Order and How Much?
2017 CCS HF Guidelines Medical Therapy for HFrEF When What Order and How Much? Dr. Shelley Zieroth University of Manitoba @ShelleyZieroth @CanHFSociety Disclosures Consulting/Advisory Board: Amgen, Astra
Arthur J. Moss, MD Professor of Medicine/Cardiology University of Rochester Medical Center Rochester, NY. DISCLOSURE INFORMATION Arthur J.
Saving Lives and Preventing Heart Failure: The MADIT Family of Trials Arthur J. Moss, MD Professor of Medicine/Cardiology University of Rochester Medical Center Rochester, NY Update in Electrocardiography
HEART FAILURE. Study day November 2018 Sarah Briggs
HEART FAILURE Study day November 2018 Sarah Briggs Overview and Introduction This course is an introduction and overview of heart failure. Normal heart function and basic pathophysiology of heart failure
How Do I Balance Bradycardia with Rate Control in Atrial Fibrillation?
How Do I Balance Bradycardia with Rate Control in Atrial Fibrillation? Thang Nguyen MD FRCPC Assistant Professor Section of Cardiology Department of Internal Medicine University of Manitoba Objectives
Sandwell Community Heart Failure Team. Community Heart failure Specialist Nurses: Hilda O Keeffe- Henry and Jacqui Elson-Whittaker
Sandwell Community Heart Failure Team Community Heart failure Specialist Nurses: Hilda O Keeffe- Henry and Jacqui Elson-Whittaker NICE 2010 Incidence and Prevalence 900,000 people in the UK with HF Same
Bi-Ventricular pacing after the most recent studies
Seminars of the Hellenic Working Groups February 18th-20 20,, 2010, Thessaloniki, Greece Bi-Ventricular pacing after the most recent studies Maurizio Lunati MD Director EP Lab & Unit Cardiology Dpt. Niguarda
Acute heart failure, beyond conventional treatment: persisting low output
Acute heart failure, beyond conventional treatment: persisting low output Alexandre Mebazaa, FESC Hôpital Lariboisière, Université Paris 7 U942 Inserm Conflict of Interest Lecture fee: Orion No other conflicts
Peripartum Cardiomyopathy. Lavanya Rai Manipal
Peripartum Cardiomyopathy Lavanya Rai Manipal Definition - PPCM - Dilated cardiomyopathy of unknown cause resulting in cardiac failure that occurs in the peripartum period in women without any preexisting
A patient with decompensated HF
A patient with decompensated HF Professor Michel KOMAJDA University Pierre & Marie Curie Pitie Salpetriere Hospital Department of Cardiology Paris (France) Declaration Of Interest 2010 Speaker : Servier,
Managing LV Impairment with Cancer Therapies
British Society for Heart Failure Revalidation & Training Day London, March 2017 Managing LV Impairment with Cancer Therapies Zaheer Yousef BSc MBBS MD FESC FRCP Heart Muscle Diseases & Heart Function
Cardiorenal Debate. Scottish Heart Failure Nurse Forum September Dr Paddy Gibson. Dr Alan Japp. Consultant Cardiologist NHS Lothian
Scottish Heart Failure Nurse Forum September 2017 Cardiorenal Debate { Dr Alan Japp Consultant Cardiologist NHS Lothian Vifor Pharma UK have sponsored this speakers for this presentation. Vifor Pharma
Follow-up of CRT patients ESC Munich Clinical and biological follow-up of CRT patients
Follow-up of CRT patients ESC Munich 12-08-26 Clinical and biological follow-up of CRT patients Frieder Braunschweig MD PhD FESC Associate Professor of Cardiology Karolinska University Hospital Stockholm,
Cardiac Resynchronization ICD Therapy: What is New?
Cardiac Resynchronization ICD Therapy: What is New? Emile Daoud, MD Section Chief, Cardiac Electrophysiology Professor of Medicine The Ohio State University Normal Activation, Narrow QRS Synchrony Abnormal
Cardiac Resynchronization Therapy for Heart Failure
Cardiac Resynchronization Therapy for Heart Failure Ventricular Dyssynchrony vs Resynchronization Ventricular Dysynchrony Ventricular Dysynchrony 1 Electrical: Inter- or Intraventricular conduction delays
IN-HF on line: patient settings (Enrollement period= )
IN-HF on line: atient settings (Enrollement eriod= 1995-2018) N of centers (total) 187 N of centers (ts. AHF only) 13 N of centers (ts. CHF only) 71 N of centers (both ts. AHF and CHF) 103 N of atients
ESC 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
Gender 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
The Management of Heart Failure after Biventricular Pacing
The Management of Heart Failure after Biventricular Pacing Juan M. Aranda, Jr., MD University of Florida College of Medicine, Division of Cardiovascular Medicine, Gainesville, Florida Approximately 271,000
What 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
Heart Failure Challenges and Unmet needs
Heart Failure Challenges and Unmet needs. Angelo Auricchio, MD FESC Director, Cardiac Electrophysiology Programme, Fondazione Cardiocentro Ticino, Lugano, Switzerland Professor of Cardiology, University
Large RCT s of CRT 2002 to present
Have We Expanded Our Use of CRT for Heart Failure Patients? Sana M. Al-Khatib, MD, MHS Associate Professor of Medicine Electrophysiology Section- Division of Cardiology Duke University Potential Conflicts
HF and CRT: CRT-P versus CRT-D
HF and CRT: CRT-P versus CRT-D Andrew E. Epstein, MD Professor of Medicine, Cardiovascular Division University of Pennsylvania Chief, Cardiology Section Philadelphia VA Medical Center Philadelphia, PA
Sliwa et al. JACC 2004;44:
TREATMENT OF ADVANCED HEART FAILURE HEART DISEASE IN KENTUCKY Navin Rajagopalan, MD Assistant Professor of Medicine University of Kentucky Director, Congestive Heart Failure Medical Director of Cardiac
Practical considerations for the use of ARNI in CHF: clinical cases. J. Parissis, Heart Failure Clinic, University of Athens, Athens, Greece
Practical considerations for the use of ARNI in CHF: clinical cases J. Parissis, Heart Failure Clinic, University of Athens, Athens, Greece Disclosures: Research grants and honoraria for lectures from
Heart Failure update. Key messages. Aim of the guideline NOVEMBER 2015 SUMMARY GUIDELINES. Optimise treatment with beta-blockers and ACE/ARB.
SUMMARY GUIDELINES NOVEMBER 2015 Heart Failure update Key messages Aim of the guideline Optimise treatment with beta-blockers and ACE/ARB. Rapid referral of patients with suspected heart failure and previous
Latest therapies for patients with HF. Dr AIGUL BALTABAEVA PhD, FESC, FRCP RBHT & ASPH
Latest therapies for patients with HF Dr AIGUL BALTABAEVA PhD, FESC, FRCP RBHT & ASPH ESC HF Guidelines 2016 ESC HF Guidelines 2016: Pharmacological Treatments Pathways blocked by ACE-I, ARB and NI Effect
Primary prevention of SCD with the ICD in Nonischemic Cardiomyopathy
Primary prevention of SCD with the ICD in Nonischemic Cardiomyopathy Michael R Gold, MD, PhD Medical University of South Carolina Charleston, SC USA Disclosures: Consulting and Clinical Trials Medtronic
His Bundle Pacing in Bundle Branch Block May 11, 2017
His Bundle Pacing in Bundle Branch Block May 11, 2017 Gopi Dandamudi, MD FHRS System Medical Director, IUH Cardiac EP Program Director, IUH Atrial Fibrillation Center Assistant Professor of Clinical Medicine
BENEFIT OF CRT IN MILDLY SYMPTOMATIC HEART FAILURE RECENT DATA FROM MADIT-CRT AND RAFT
BENEFIT OF CRT IN MILDLY SYMPTOMATIC HEART FAILURE RECENT DATA FROM MADIT-CRT AND RAFT Ilan Goldenberg MD Professor of Cardiology Sheba Medical Center and Tel Aviv University, Israel University of Rochester
BHRS Certification 2016: An Overview
BHRS Certification 2016: An Overview Stuart Allen admin@bhrs.com Points To Note Membership of BHRS is a requirement for entry Exam only runs 1 x per year Certification will be valid for 10 years After
HEART FAILURE. Study day November 2017 Sarah Briggs and Janet Laing
HEART FAILURE Study day November 2017 Sarah Briggs and Janet Laing Overview and Introduction This course is an introduction and overview of heart failure. Normal heart function and basic pathophysiology
Disclosures. 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 acute cardiology
Case 1 RC 86, Male More acute cardiology Dr John Chambers Consultant Cardiologist A&E: SOB at rest. No chest pain. Exertional SOB for 6/12. PMHx: HT Rx: Ramipril 5mg od Examination: Afebrile, HR = 105,
LIVING WITH HEART FAILURE
1 PERSONAL RECORD An everyday guide to LIVING WITH HEART FAILURE Personal record HOW TO USE THIS RECORD This personal record accompanies our publication An everyday guide to living with heart failure.
Clinical Case. Female, 62 years January 2016
Clinical Case Female, 62 years January 2016 Dr. Ramón Corbalán H. Facultad de Medicina División de Enfermedades Cardiovasculares Pontificia Universidad Católica de Chile Clinical Hx Background: Ostheoartritis
Presentation, symptoms and signs of heart failure
3 Presentation, symptoms and signs of heart failure What will I learn? In this section you will learn: Who is at risk of heart failure The symptoms of heart failure The signs of heart failure The importance
What to do when a heart failure patient becomes pregnant
BSH Heart Failure Day for Revalidation and Training 2017 What to do when a heart failure patient becomes pregnant Dr Diane Barker Consultant Cardiologist Royal Stoke Hospital Conflicts of interest - sponsorship,
The National Heart Failure Audit 2010/2011
The National Heart Failure Audit 2010/2011 Project Steering Group; TA McDonagh, JG Cleland, HJ Dargie, S Hardman,P Mitchell, A Cunningham 85% NHS Trusts submitting data (133/156) 36,504 admissions 70%
An everyday guide to. living with heart failure: Personal record
An everyday guide to living with heart failure: Personal record Contact details How to use this record Your details Name of birth Phone Hospital details Hospital consultant GP details GP Phone Address
5 Things a GP could do in Heart Failure to keep patients well. Clinical case presented by Dr Nigel Rowell, GPSI Endeavour
5 Things a GP could do in Heart Failure to keep patients well Clinical case presented by Dr Nigel Rowell, GPSI Endeavour Declarations Paid speaker and advisor to Novartis & Alere Speaker fees from Bayer,
1000 Lives Key Components of Reliable, Evidence-Based Chronic Heart Failure Care how do we compare?
1000 Lives Key Components of Reliable, Evidence-Based Chronic Heart Failure Care how do we compare? Dr Nerys Davies, GPST Ms B. Davies, Specialist Nurse (Heart Failure) Dr J. Taylor, Consultant Cardiologist
Case Summary. Workshop Overview. Mr. M
9:00 10:30 Workshop Overview Mr. M Who is this document primarily intended to reach? What is the format? How soon should I see a newly referred heart failure patient? How often should my heart failure
Outline. Chronic Heart Failure: Update on Effective Monitoring and Treatment. Heart Failure Epidemiology. Michael G.
Chronic Heart Failure: Update on Effective Monitoring and Treatment Michael G. Shlipak, MD, MPH Professor of Medicine, UCSF Chief, Division of General Internal Medicine, SFVA Medical Center Scientific
Implantable cardioverter-defibrillators and cardiac resynchronization therapy
Implantable cardioverter-defibrillators and cardiac resynchronization therapy Johannes Holzmeister, MD University Hospital Zurich, Zurich, Switzerland Frontiers of heart failure controversies, ESC - Paris
Specialist Nursing Improves Outcomes in Heart Failure
Specialist Nursing Improves Outcomes in Heart Failure Professor Stephen Tee Executive Dean Bournemouth University Mrs Andrea Tee Specialist Heart Failure Nurse, Western Sussex NHS Trust Where are we from?
TEACH & TREAT Post-Myocardial Infarction Left Ventricular Systolic Dysfunction
TEACH & TREAT Post-Myocardial Infarction Left Ventricular Systolic Dysfunction Clare Murphy, Paul Forsyth, Steve McGlynn, Margaret Ryan, Anne Watson, Lynsey Moir, Iain Speirits, Mark Petrie, Ninian Lang,
2016 Update to Heart Failure Clinical Practice Guidelines
2016 Update to Heart Failure Clinical Practice Guidelines Mitchell T. Saltzberg, MD, FACC, FAHA, FHFSA Medical Director of Advanced Heart Failure Froedtert & Medical College of Wisconsin Stages, Phenotypes
Diagnosis and management of Chronic Heart Failure in 2018: What does NICE say? PCCS Meeting Issues and Answers Conference Nottingham
Diagnosis and management of Chronic Heart Failure in 2018: What does NICE say? PCCS Meeting Issues and Answers Conference Nottingham NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Chronic heart failure
8. Pharmacological Management
8. Pharmacological Management Neurohormonal deactivation 1. Adrenaline Beta Blockers Dose Side Effects Monitoring Neurohormonal Deactivation 2. Angiotensin II ACE Inhibition Dose Side Effects Monitoring
Device Therapy for Heart Failure
Device Therapy for Heart Failure Dr. Shelley Zieroth FRCPC Assistant Professor, Cardiology, University of Manitoba Director of Cardiac Transplant and Heart Failure Clinics St Boniface General Hospital,
Heart Failure in 2012 with reference to NICE Guidance Dr Maurice Pye Consultant Cardiologist York District Hospital
Heart Failure in 2012 with reference to NICE Guidance 2010 Dr Maurice Pye Consultant Cardiologist York District Hospital A little over elaborate,do not include ECG or CXR If clinical suspicion is high
Novel 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
Dobutamine Stress testing In Low Flow, Low EF, Low Gradient Aortic Stenosis Case Studies
Dobutamine Stress testing In Low Flow, Low EF, Low Gradient Aortic Stenosis Case Studies Mitral Regurgitation The New ASE Guidelines: Role of 2D/3D and CMR William A. Zoghbi MD, FASE, MACC Professor and
DISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
Indications for and Prediction of Successful Responses of CRT for Patients with Heart Failure
Indications for and Prediction of Successful Responses of CRT for Patients with Heart Failure Edmund Keung, MD Clinical Chief, Cardiology Section San Francisco VAMC October 25, 2008 Presentation Outline
Need to Know: Implantable Devices. Carolyn Brown RN, MN, CCRN Education Coordinator Emory Healthcare Atlanta, Georgia
Need to Know: Implantable Devices Carolyn Brown RN, MN, CCRN Education Coordinator Emory Healthcare Atlanta, Georgia Disclosure Statement I have no relationships to disclose. Objectives Discuss the most
BHRS Prep course Pub style Quiz NOT A
BHRS Prep course Pub style Quiz NOT A Round 1 Quiz questions Common ECG s in CRM Colin Cunnington Over the past 3 months, a 24-yearold man who works as a truck driver has had frequent episodes of pre-syncope
1. Confirmation of Diagnosis
Clinical Guideline Heart failure: Managing newly diagnosed and decompensated patients admitted to hospital 1. Confirmation of Diagnosis Person with signs and symptoms suggesting heart failure Detailed
Disclosures. 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
Deactivating implantable cardiac defibrillators in end of life care. Dr Laurence O Toole Consultant Cardiologist STH NHS FT 20 th November 2014
Deactivating implantable cardiac defibrillators in end of life care Dr Laurence O Toole Consultant Cardiologist STH NHS FT 20 th November 2014 Implantable Cardiac Defibrillators (ICDs) ICDs have 3 main
Heart 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
Diagnosis and management of chronic heart failure
Quick reference guide for health professionals Diagnosis and management of chronic heart failure Updated October 2011 This quick reference guide is derived from the National Heart Foundation of Australia
Specialised Services Policy Position PP151
Specialised Services Policy Position PP151 Complex Devices: Implantable Cardioverter Defibrillators and Cardiac Resynchronisation Therapy for arrhythmias and heart failure January 2019 Version 1.0 Document
Guideline-Directed Medical Therapy
Guideline-Directed Medical Therapy Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients with Functional Mitral Regurgitation OPTIMAL THERAPY (As defined in
Ventricular Assist Device: Are Early Interventions Superior? Hamang Patel, MD Section of Cardiomyopathy & Heart Transplantation
Ventricular Assist Device: Are Early Interventions Superior? Hamang Patel, MD Section of Cardiomyopathy & Heart Transplantation Objectives Current rationale behind use of MCS Patient Selection Earlier?
This is What I do to Improve CRT Response for CRT Non-Responders
This is What I do to Improve CRT Response for CRT Non-Responders Michael R Gold, MD, PhD Medical University of South Carolina Charleston, SC Disclosures: Steering Committees (unpaid) and Clinical Trials,
CRT: whom does it benefit?
CRT: whom does it benefit? Francisco Leyva BSH Revalidation and Training 2018 Queen Elizabeth Hospital NICE guidelines for CRT LVEF 35% NYHA class I II III IV QRS
The Atrial Fibrillation Clinic in Llanelli. Dr Lena Marie Izzat Consultant Cardiovascular Physician
The Atrial Fibrillation Clinic in Llanelli Dr Lena Marie Izzat Consultant Cardiovascular Physician Llanelli Multidisciplinary AF Clinic Went live January 2009 Based on the fact that Carmarthenshire has
Heart 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