scholarly journals Proenkephalin and the risk of new‐onset heart failure: data from prevention of renal and vascular end‐stage disease

2021 ◽  
Author(s):  
Johanna E. Emmens ◽  
Jozine M. Maaten ◽  
Frank P. Brouwers ◽  
Lyanne M. Kieneker ◽  
Kevin Damman ◽  
...  
2017 ◽  
Vol 35 (3) ◽  
pp. 514-522 ◽  
Author(s):  
Jennifer Treece ◽  
Hrak Chemchirian ◽  
Neil Hamilton ◽  
Manar Jbara ◽  
Venkataramanan Gangadharan ◽  
...  

A minority of patients with end-stage disease are referred to palliative medicine for consultation in advanced heart failure. Educating stakeholders, including primary care, cardiology, and critical care of the benefits of hospice and palliative medicine for patients with poor prognosis, may increase appropriately timed referrals and improve quality of life for these patients. This article reviews multiple tools useful in prognostication in the setting of advanced heart failure.


Heart ◽  
2007 ◽  
Vol 93 (8) ◽  
pp. 968-973 ◽  
Author(s):  
C. Torp-Pedersen ◽  
M. Metra ◽  
A. Charlesworth ◽  
P. Spark ◽  
M. A. Lukas ◽  
...  

2019 ◽  
Vol 61 (6) ◽  
Author(s):  
J. A. Ker ◽  
K. Outhoff

In general, heart failure is the end-stage manifestation of cardiovascular disease and is an important and increasing cause of morbidity worldwide. Acute heart failure, whether of new onset or an exacerbation of chronic heart failure, causes sudden congestion, typically presenting as pulmonary oedema. The mortality associated with acute heart failure is extremely high. Potentially life-saving treatments and other burning issues are highlighted in this review.


2020 ◽  
pp. bmjspcare-2020-002369
Author(s):  
Ariel Gonzalez-Cordero ◽  
Stephanie Ortiz-Troche ◽  
Juan Nieves-Rivera ◽  
Marcel Mesa-Pabón ◽  
Hilton Franqui-Rivera

It is estimated that 5% of patients with heart failure (HF) will progress to end-stage disease refractory to medical therapy and might require prolonged hospitalisation with inotropic support. We present the case of a patient with end-stage HF who was admitted with cardiogenic shock. During his hospitalisation, he required prolonged intravenous vasopressor therapy due to refractory hypotension. He did not qualify for heart transplantation or left ventricular-assist device strategies. Midodrine was started as a last resort attempt to wean off vasopressors. After 5 days of therapy, the patient was weaned entirely off vasopressors and was discharged home for hospice care. By the time of discharge, he was tolerating low-dose carvedilol along with midodrine. We propose midodrine as a reasonable alternative for patients with end-stage HF with reduced ejection fraction and refractory hypotension, who are dependent on intravenous vasoactive drugs and are not candidates for advanced HF therapies.


Author(s):  
Ali A. Al‐Mubarak ◽  
Niels Grote Beverborg ◽  
Navin Suthahar ◽  
Ron T. Gansevoort ◽  
Stephan J.L. Bakker ◽  
...  

Author(s):  
Chi-Ming Wei ◽  
Margarita Bracamonte ◽  
Shi-Wen Jiang ◽  
Richard C. Daly ◽  
Christopher G.A. McGregor ◽  
...  

Nitric oxide (NO) is a potent endothelium-derived relaxing factor which also may modulate cardiomyocyte inotropism and growth via increasing cGMP. While endothelial nitric oxide synthase (eNOS) isoforms have been detected in non-human mammalian tissues, expression and localization of eNOS in the normal and failing human myocardium are poorly defined. Therefore, the present study was designed to investigate eNOS in human cardiac tissues in the presence and absence of congestive heart failure (CHF).Normal and failing atrial tissue were obtained from six cardiac donors and six end-stage heart failure patients undergoing primary cardiac transplantation. ENOS protein expression and localization was investigated utilizing Western blot analysis and immunohistochemical staining with the polyclonal rabbit antibody to eNOS (Transduction Laboratories, Lexington, Kentucky).


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