Article
Medicine, General & Internal
Paolo Severino, Andrea D'Amato, Silvia Prosperi, Michele Magnocavallo, Annalisa Maraone, Claudia Notari, Ilaria Papisca, Massimo Mancone, Francesco Fedele
Summary: During the COVID-19 pandemic, telephone consultations proved to be a viable alternative to traditional in-person visits for managing HF outpatients.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Remi Sabatier, Damien Legallois, Mouna Jodar, Laurene Courouve, Valerie Donio, Florence Boudevin, Thibault De Chalus, Karine Hauchard, Annette Belin, Paul Milliez
Summary: This study evaluated the impact of patient engagement in home-based telemonitoring for heart failure on rehospitalization and mortality rates. It found significant associations between the level of patient engagement and rehospitalization and mortality rates.
Article
Cardiac & Cardiovascular Systems
Ambarish Pandey, Matthew W. Segar, Sumitabh Singh, Gordon Reeves, Christopher O'Connor, Ileana Pina, David Whellan, William Kraus, Robert Mentz, Dalane Kitzman
Summary: This study investigates the impact of baseline frailty on the efficacy of aerobic exercise training in patients with heart failure. The results show that aerobic exercise training significantly reduces the risk of all-cause hospitalization in frail patients, but the effect is not significant for non-frail patients.
Review
Medicine, General & Internal
Carlos Escobar, Domingo Pascual-Figal, Luis Manzano, Julio Nunez, Miguel Camafort
Summary: Based on recent evidence, SGLT2 inhibitors, specifically dapagliflozin, are recommended as first-line therapy for managing heart failure patients, irrespective of ejection fraction, to reduce the burden of heart failure. Studies have shown that dapagliflozin significantly reduces the risk of cardiovascular death, all-cause death, total heart failure hospitalizations, and MACE in the entire spectrum of heart failure, with sustained benefits over time. Full implementation of dapagliflozin in clinical practice leads to a substantial reduction in hospitalizations for heart failure and death in real-life populations.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Li Shen, Pardeep Singh Jhund, Kieran Francis Docherty, Muthiah Vaduganathan, Mark Colquhoun Petrie, Akshay Suvas Desai, Lars Kober, Morten Schou, Milton Packer, Scott David Solomon, Xingwei Zhang, John Joseph Valentine McMurray
Summary: Previous guidelines for treating heart failure with reduced ejection fraction recommended initiating therapy in a chronological order based on trial history. However, this study suggests that accelerating treatment titration and optimizing treatment ordering may improve patient outcomes.
EUROPEAN HEART JOURNAL
(2022)
Article
Cardiac & Cardiovascular Systems
Yumiko Kawakubo Ichihara, Yasuyuki Shiraishi, Shun Kohsaka, Shintaro Nakano, Yuji Nagatomo, Tomohiko Ono, Makoto Takei, Munehisa Sakamoto, Atsushi Mizuno, Mitsunobu Kitamura, Nozomi Niimi, Takashi Kohno, Tsutomu Yoshikawa
Summary: This study found that patients with behavioral precipitant factors (PFs) had a higher risk of heart failure rehospitalization, despite having a lower risk of in-hospital death.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Article
Medicine, General & Internal
Ali Khanipour-Kencha, Shahrzad Ghiyasvandian, Somaye Mohammadi, Mehdi Khabazkhoob, Arvin Mirshahi, Rachel Wells, Masoumeh Zakerimoghadam
Summary: This study proposes a randomized controlled trial to evaluate the effectiveness of a comprehensive tele-empowerment program on self-care behaviors, uncertainty, and readmission in patients with heart failure. The study will recruit 96 eligible patients and randomly assign them to the intervention or control group. The primary outcomes include self-care behaviors and uncertainty, and the secondary outcome is the number of patients' hospital readmissions. The study has been approved by the Research Ethics Committee and the results will be published in peer-reviewed journals. Rating: 8/10
Article
Nutrition & Dietetics
Shirley Sze, Pierpaolo Pellicori, Jufen Zhang, Joan Weston, Andrew L. Clark
Summary: This prospective cohort study aimed to compare the short-term prognostic value of 9 commonly used malnutrition tools in patients with chronic heart failure. The study found that most tools were independently associated with worse morbidity and mortality in patients with CHF, with serum albumin providing comparable prognostic information to simple or multidimensional malnutrition tools.
AMERICAN JOURNAL OF CLINICAL NUTRITION
(2021)
Article
Cardiac & Cardiovascular Systems
Hanzhang Xu, Bradi B. Granger, Connor D. Drake, Eric D. Peterson, Matthew E. Dupre
Summary: This study examined the impact of early outpatient follow-up via telemedicine or in-person visits on the 30-day readmission rate in patients with heart failure during the COVID-19 pandemic. The results showed that both telemedicine and in-person follow-up were associated with a lower likelihood of readmission compared to no follow-up.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Cardiac & Cardiovascular Systems
Vanessa Blumer, Robert J. Mentz, Jie-Lena Sun, Javed Butler, Marco Metra, Adriaan A. Voors, Adrian F. Hernandez, Christopher M. O'Connor, Stephen J. Greene
Summary: The study found that prior hospitalization for heart failure was not associated with 180-day mortality after accounting for patient characteristics measured during the index patient visit. Clinical confounders measured at the point-of-care may explain previously observed associations.
CIRCULATION-HEART FAILURE
(2021)
Article
Cardiac & Cardiovascular Systems
Joyce N. Njoroge, John R. Teerlink
Summary: ADHF is a leading admission diagnosis worldwide, with incompletely understood pathophysiology and limited therapeutic options. Patients often experience high in-hospital morbidity and mortality due to suboptimal medical management leading to persistent congestion upon hospital discharge and inadequate initiation of life-saving therapies before discharge. There has been no new therapy approved for ADHF in decades, highlighting the need for expanding available therapies for these high-risk patients.
CIRCULATION RESEARCH
(2021)
Article
Medicine, General & Internal
Charles Faselis, Phillip H. Lam, Samir Patel, Cherinne Arundel, Gerasimos Filippatos, Prakash Deedwania, Michael R. Zile, Samuel Wopperer, Tran Nguyen, Richard M. Allman, Gregg C. Fonarow, Ali Ahmed
Summary: This study found that the prescription of loop diuretics for heart failure patients upon discharge can impact long-term clinical outcomes, with the effects being modified by the level of congestion upon admission. Patients with no congestion, mild-to-moderate congestion, and severe congestion experienced different outcomes.
AMERICAN JOURNAL OF MEDICINE
(2021)
Article
Nutrition & Dietetics
Yoshikuni Obata, Naoya Kakutani, Shintaro Kinugawa, Arata Fukushima, Takashi Yokota, Shingo Takada, Taisuke Ono, Takeshi Sota, Yoshiharu Kinugasa, Masashige Takahashi, Hisashi Matsuo, Ryuichi Matsukawa, Ichiro Yoshida, Isao Yokota, Kazuhiro Yamamoto, Miyuki Tsuchihashi-Makaya
Summary: Inadequate calorie intake is associated with worse clinical outcomes in stable outpatients with chronic HF, including higher risks of all-cause death and HF-related hospitalization. Further studies with direct measurements of dietary calorie intake and total energy expenditure are needed to clarify this relationship.
Article
Nutrition & Dietetics
Nubia Rafaella Soares Moreira Torres, Fernanda Lambert de Andrade Freire, Raquel Costa Silva Dantas-Komatsu, Eduardo Paixao da Silva, Salomao Israel Monteiro Lourenco Queiroz, Niethia Regina Dantas de Lira, Rosiane Viana Zuza Diniz, Severina Carla Vieira Cunha Lima, Lucia Fatima Campos Pedrosa, Marcia Marilia Gomes Dantas Lopes, Karine Cavalcanti Mauricio Sena-Evangelista
Summary: This study aimed to assess the prevalence of inadequate micronutrient intake and its association with prognosis in patients with heart failure. The results showed a high prevalence of inadequate micronutrient intake in heart failure outpatients, but it was not associated with hospitalization and mortality.
Article
Cardiac & Cardiovascular Systems
Spyridon Katsanos, Wouter Ouwerkerk, Dimitrios Farmakis, Sean P. Collins, Christiane E. Angermann, Kenneth Dickstein, Jasper Tomp, Georg Ertl, John Cleland, Ulf Dahlstrom, Achim Obergfell, Mathieu Ghadanfar, Sergio V. Perrone, Mahmoud Hassanein, Konstantinos Stamoulis, John Parissis, Carolyn Lam, Gerasimos Filippatos
Summary: This study found that the time of admission and whether it was during working hours or not had an impact on the length of stay and mortality of acute heart failure patients. Patients admitted during the night shift and non-working hours had shorter lengths of stay, but higher risk of mortality.