In-Hospital Treatment for Heart Failure: New Approaches and a Renewed Sense of Hope?

Slides:



Advertisements
Similar presentations
Horng H Chen MD on behalf of the NHLBI Heart Failure Clinical Research Network Renal Optimization Strategies Evaluation in Acute Heart Failure (ROSE AHF):
Advertisements

BEAUTI f UL: morBidity-mortality EvAlUaTion of the I f inhibitor ivabradine in patients with coronary disease and left ventricULar dysfunction Purpose.
The effect of heart rate reduction with ivabradine on renal function in patients with chronic heart failure: an analysis from SHIFT Systolic Heart failure.
Influence of background treatment with mineralocorticoid receptor antagonists on ivabradine's effects in patients with chronic heart failure Systolic Heart.
New 2011 SHIFT quality of life substudy Quality of life ( QoL) in heart failure: where do we stand? Therapies that have survival benefits either have a.
Date of download: 7/5/2016 Copyright © The American College of Cardiology. All rights reserved. From: Early Aldosterone Blockade in Acute Myocardial Infarction:
Ridha Chakeer MD PGY3. Objectives: Approximately 5.2 million Americans are affected  accounts for more than 3 million outpatient visits to primary care.
The Department of Quality and Risk Management
  Aldosterone Targeted NeuroHormonal CombinEd with Natriuresis TherApy – Heart Failure Trial ATHENA-HF Trial Javed Butler, M.D., M.P.H, M.B.A. On behalf.
Biomarkers that “guide” therapy
Aldosterone Targeted NeuroHormonal CombinEd with Natriuresis TherApy – Heart Failure Trial ATHENA-HF Trial Javed Butler, Marvin A. Konstam, G. Michael.
DIAGNOSIS No symptoms = no heart failure. DIAGNOSIS No symptoms = no heart failure.
Copyright © 2007 American Medical Association. All rights reserved.
CLINICAL DILEMMAS IN HEART FAILURE:
Emerging Concepts in Heart Failure
EMPHASIS-HF Extended Follow-up
NOACs for Cancer-Associated Thrombosis:
Introduction: Alarming Statistics Causes of Death in Prevalent Dialysis Patients,
Acute Heart Failure.
Hyperkalemia in the Hospital: Collaboration to Improve Transitions of Care.
Heart Failure and Hospital Readmissions
Heart Rate, HF Admissions, and Readmissions
A CASE CHALLENGE IN HFrEF:
Emerging Data on ACS Management From ACC
Cardiac Biomarkers.
Biomarkers in Heart Failure
Cost Effectiveness and Optimal Outcomes in HF
Adverse Neurohormonal Activation in HF Has Formed the Basis for Evidence-Based Pharmacologic Therapy
Systolic Heart failure treatment with the If inhibitor ivabradine Trial The effect of heart rate reduction with ivabradine on renal function in patients.
Heart Failure Management Coordinated Care Approaches
Cardiac Biomarkers: Key Takeaways for Use in Heart Failure and Acute Coronary Syndrome.
Heart Failure Prevention: Mission Impossible?
Treating HFrEF: Challenges Faced
Selected Highlights of the Latest Advances in PAH
Preventing Heart Failure Readmission and Progression
Antithrombotic Protection in CAD and HF
Biomarker-Guided HF Therapy: Is It Cost-Effective?
The Heart Failure Team Heart Failure Care Map First 24 hours.
Evaluating New Therapies in HF
Heart Failure Hospitalization Risks with DPP-IV Inhibitors: Myth or Reality?
The Importance of Getting the Dose Right in HF
Using Heart Rate as a Biomarker in Clinical Practice.
Overcoming Clinical Inertia
Case #1 Case #1 (cont) Case #1 (cont)
Revisiting the Pharmacoeconomics of HF
Improving 30-Day HF Readmission Rates With Biomarker-Guided Therapy
Challenging the Myths in Heart Failure With Reduced Ejection Fraction
T2DM, CV Risk, and SGLT2 Inhibition in the Spotlight
Embargoed until 10:45 a.m. CT/11:45 a.m. ET Sunday, Nov. 11, 2018
Heart Failure. Enhancing Myosin Activation and Cardiac Contractility: Implications for Heart Failure.
ATHENA-HF Trial design: Patients with acute heart failure were randomized to spironolactone 100 mg daily (n = 182) vs. placebo/low-dose spironolactone.
CAD and HF Often Coexist
New Strategies to Reduce HF Readmissions
Fig. 2. Evidence-based medication prescriptions
Heart failure MANAGEMENT IN THE COMMUNITY
Program Goals Background: Anticoagulation in Patients With VTE.
Maximizing Organ Protection in Patients With CKD and Comorbidities on RAAS Therapy.
Improving Adherence to Antiplatelet Therapy After an ACS Event
Assessing the Burden of Hyperkalemia
Systolic Heart failure treatment with the If inhibitor ivabradine Trial Effect of ivabradine on recurrent hospitalization for worsening heart failure:
HF-Related Hospitalization and Readmissions
TRUE-AHF Trial design: Patients with acute decompensated heart failure were randomized in a 1:1 fashion to either early ularitide infusion (within 12 hours)
Assessing the Burden of Hyperkalemia
Uptitration of Medications in HF: Start Low but Aim High and Stay High
HF Definition. Why and How Should We Be Treating Patients With Heart Failure With Preserved Ejection Fraction?
Number of patients who would have benefitted from addition of ACE inhibitor (ACEi), beta blockers (BB) or optimal therapy (one or both of ACEi and BB)
BRIDGING CVD AND T2DM: LESSONS LEARNED FROM OUTCOME TRIALS
Top Tips in Evidence-Based Care for HFrEF
Key Data on Improving Outcomes in HF Patients
Presentation transcript:

In-Hospital Treatment for Heart Failure: New Approaches and a Renewed Sense of Hope?

Heart Failure: In the United States

5-Year Outcomes for Heart Failure

Heart Failure in Europe

What Are the Goals for Uptitration?

Use of Medications in Patients Hospitalized With HF

How Do You Know When the Patient Is Decongested and Ready for Discharge?

Predischarge BNP Assay for Identifying Patients at High Risk for Readmission After Decompensated Heart Failure

Beta Blockade Use in Acute HF

Beta Blockade Use in Acute HF (cont)

Starting Beta Blockade in a De Novo HF Patient

Use of MRAs in Heart Failure Management

Impact of Evidence-Based HF Therapy Use at Hospital Discharge on Treatment Rates During Follow-Up

Recent Trials With Sacubitril/Valsartan

PIONEER HF: NT-proBNP Changes at 7 Days With Sacubitril/Valsartan

Transitioning From ACE Inhibitor or ARB to ARNI or Starting ARNI in the ACE Inhibitor/ARB De Novo Patient: Key Points From PIONEER HF

PIONEER HF: Key Subgroup Analyses

Benefit of Adding Ivabradine to an Inotrope in Severe Systolic Dysfunction

Ivabradine for Heart Failure

Early Discharge Period: Goals for Care

Early Discharge Period: Goals for Care (cont)

Abbreviations