Prediction of cardiac arrest in patients with heart failure in Sweden: a registry study with development of a machine learning model.
OBJECTIVE: 30-day survival after cardiac arrest is low, 12.4% and 36% for out-of-hospital and in-hospital cardiac arrest, respectively. Heart failure is a known risk condition for cardiac arrest. Impr...
Observational multicentre registry to update key interventions and new approaches with artificial intelligence for heart failure (OKINAWA-HF): a retrospective medical record-derived registry study protocol.
INTRODUCTION: The efficacy of guideline-directed medical therapy (GDMT) for heart failure has been established in clinical trials, but trial populations differ substantially from real-world clinical p...
Rethinking Congestion in Heart Failure from Volume Overload to Venous Pressure and Organ Disfunction with VExUS.
Congestion is a major driver of symptoms, hospitalization, and adverse outcomes in heart failure (HF), yet its clinical assessment remains challenging. Traditional approaches based on physical examina...
Hypertensive Heart Failure with Preserved Ejection Fraction: Guidelines vs. Randomized Controlled Trials Evidence Gaps.
Hypertension is among the most important modifiable risk factors associated with heart failure with preserved ejection fraction (HFpEF) development and progression, yet guideline-directed blood pressu...
[A case of zero-contrast cardiac resynchronization therapy defibrillator implantation].
扩张型心肌病合并慢性心力衰竭、完全性左束支传导阻滞的患者，通常面临猝死风险，因此需要置入心脏再同步化治疗除颤器进行一级预防。置入术需常规冠状静脉窦造影，对于明确碘造影剂过敏或严重肾功能不全患者存在较大风险。该文报道1例采用零造影剂策略成功实施心脏再同步化治疗除颤器置入术的病例，为该类患者提供了一定的经验和依据。.
Retrospective Evaluation of Recombinant Human Brain Natriuretic Peptide Therapy for Decompensated Right Heart Failure Across Pulmonary Hypertension Groups.
Background and Objectives: Right heart failure is a life-threatening complication of pulmonary hypertension (PH), with limited treatment options. Although recombinant human brain natriuretic peptide (...
Implementation and Evaluation of a Social Networking Service-Based Mobile Patient-Generated Health Data System With Direct Electronic Medical Record Integration: Prospective Observational Study.
BACKGROUND: Patient-generated health data (PGHD) can enhance patient-centered care by improving disease awareness and preparedness for clinical encounters. However, automated incorporation of PGHD int...
Observation of risk perception, knowledge and behaviour related to covid-19 in heart failure patients enrolled on a telecoaching program.
BACKGROUND: Telemedical interventions have been shown to reduce mortality and morbidity and improve the quality of life of chronic heart failure (CHF) patients. During the Covid-19 pandemic remote coa...
Standardised, telemonitored titration of guideline-directed medical therapy in heart failure is associated with faster optimisation and improved persistence compared to standard of care.
BACKGROUND: Rapid initiation and up-titration of guideline-directed medical therapy (GDMT) are critical for improving outcomes in heart failure with reduced ejection fraction (HFrEF), yet initiation i...
Left Ventricular Thrombus in Ischemic Heart Failure: Machine-learning-based Prediction of Six-month Persistence and One-year Outcomes.
Left ventricular thrombus (LVT) in ischemic heart failure carries embolic risk; tools to anticipate persistence are limited. We studied 190 consecutive patients with imaging-confirmed LVT managed with...
Super-Resolution 3D Imaging Reveals Disarray of Dyadic Calcium Ion Channels in Failing Hearts Expressing Low Thyroid Hormone Function.
Ventricular remodeling occurring in heart failure (HF) involves structural disarray of the sarcolemma T-tubule (TT)-sarcoplasmic reticulum (SR) dyad junctions, thereby disrupting the close apposition ...
Muscle quality index is associated with advanced stages in patients with cardiovascular-kidney-metabolic syndrome: A cross-sectional study.
Cardiovascular-kidney-metabolic (CKM) syndrome represents a complex systemic condition involving interconnected dysfunctions across metabolic, renal, and cardiovascular systems, presenting significant...
A nomogram for risk prediction in patients with heart failure and diabetes: Development and validation.
Heart failure (HF) commonly coexists with type 2 diabetes mellitus (T2DM), and this combination is linked to a heavier symptom burden and less favorable clinical outcomes. In this retrospective single...
Serum chloride trajectory and 28-day mortality in critically ill congestive heart failure: A retrospective multicenter cohort study deriving from MIMIC-IV and externally validated.
Congestive heart failure (CHF) is associated with high morbidity, mortality, and substantial economic burden. Although hypochloremia has been linked to adverse outcomes, the relationship between longi...
The crucial role of non-specialty local hospitals and clinics in managing advanced stages of adult congenital heart disease in an era of increasing prevalence.
A middle-aged woman with complex congenital heart disease (CHD) and stage D heart failure-including a double outlet univentricular heart-faced difficulty accessing a specialised centre due to dyspnoea...
AMI-SSS01 portable phonocardiographic examination with AI-assisted assessment for detecting heart failure exacerbations in home-based medical care in Japanese primary care clinics: a study protocol for a randomised controlled feasibility trial.
INTRODUCTION: The global prevalence of heart failure continues to increase, particularly in ageing populations. Many older patients receiving home-based medical care have limited access to standard di...
Mapping interventions addressing frailty and associated outcomes in people with heart failure: a scoping review.
OBJECTIVES: Frailty in people with heart failure (HF) is a multidimensional state and associated with poor outcomes. Addressing frailty in people with HF has been identified as a priority area to impr...
Intermittent Levosimendan Administration for Advanced Heart Failure Treatment in Adults with Congenital Heart Disease (Levo-ACHD Study).
Background and Objective: Heart failure (HF) is a major cause of morbidity in adults with congenital heart disease (ACHD), who may also have limited access to transplant. Intermittent levosimendan adm...
Escalation to transplantation in refractory stone heart syndrome: a case report of advanced mechanical circulatory support failure.
BACKGROUND: Stone heart syndrome was first described by Denton Cooley in 1972 and represents an extremely rare but severe complication following cardiac surgery. The condition is characterized by an i...
Experiences of Older Adults and Caregivers With Home Telemonitoring for Heart Failure in Canada: Qualitative Study.
BACKGROUND: Home telemonitoring programs are increasingly used to support older adults living with chronic conditions such as heart failure (HF). While these interventions show promise for improving h...