Thoracic Impedance Measured Via Implantable Devices Provides Advanced Warning of Signs and Symptoms of Worsening Heart Failure in Addition to Hospitalization

2006 ◽  
Vol 12 (6) ◽  
pp. S5
Author(s):  
Lisa D. Rathman ◽  
Jill L. Repoley ◽  
Deanna Dukes-Graves ◽  
Jon G. Echterling ◽  
Sherri S. Delgado ◽  
...  
Keyword(s):  
Heart Failure ◽  
Signs And Symptoms ◽  
Implantable Devices ◽  
Thoracic Impedance

Thoracic Impedance Change Rates in Implantable Devices Related to Clinical Scenarios of Patients with Decompensated Heart Failure

2012 ◽  
Vol 18 (10) ◽  
pp. S160
Author(s):  
Noboru Oda ◽  
Yukiko Nakano ◽  
Hiroki Ikenaga ◽  
Yoshikazu Watanabe ◽  
Hiroshi Kawazoe ◽  
...  
Keyword(s):  
Heart Failure ◽  
Decompensated Heart Failure ◽  
Implantable Devices ◽  
Impedance Change ◽  
Thoracic Impedance ◽  
Clinical Scenarios

A method to adapt thoracic impedance based on chest geometry and composition to assess congestion in heart failure patients

2016 ◽  
Vol 38 (6) ◽  
pp. 538-546 ◽  
Author(s):  
Illapha Cuba-Gyllensten ◽  
Paloma Gastelurrutia ◽  
Alberto G. Bonomi ◽  
Jarno Riistama ◽  
Antoni Bayes-Genis ◽  
...  
Keyword(s):  
Heart Failure ◽  
Thoracic Impedance ◽  
Heart Failure Patients

Relationship between self-care and comprehensive understanding of heart failure and its signs and symptoms

2017 ◽  
Vol 17 (6) ◽  
pp. 496-504 ◽  
Author(s):  
Kyoung Suk Lee ◽  
Debra K Moser ◽  
Kathleen Dracup
Keyword(s):  
Heart Failure ◽  
Confidence Interval ◽  
Self Care ◽  
Signs And Symptoms ◽  
Comprehensive Understanding ◽  
Behavior Scale ◽  
Heart Failure Exacerbation ◽  
The Relationship ◽  
Different Levels ◽  
Care Behavior

Background: Although incomplete understanding of heart failure and its signs and symptoms appears to be a barrier to successful self-care, there are few studies examining the relationship between self-care and levels of comprehensive understanding of heart failure and its signs and symptoms. Aim: To determine whether incomplete understanding of heart failure and its signs and symptoms is associated with self-care in heart failure patients who were recently discharged from the hospital due to heart failure exacerbation. Methods: Patients completed the nine-item European Heart Failure Self-care Behavior scale and questionnaire to assess knowledge of heart failure and its signs and symptoms. Three groups were formed by their different levels of understanding of heart failure and its signs and symptoms. Multivariable linear regression was used to determine whether these three levels of understanding groups predicted self-care after controlling for demographic and clinical variables. Results: Of 571 patients 22.1%, 40.1% and 37.8% had poor, moderate, and complete understanding, respectively. Compared with patients in the poor understanding group, patients in complete and moderate understanding groups were more likely to have better adherence to self-care activities (standardized β = −0.14, 95% confidence interval −3.41, −0.47; standardized β = −0.19, 95% confidence interval −4.26, −1.23, respectively). Conclusions: Fewer than half of the patients had a comprehensive understanding of heart failure and its signs and symptoms, which was associated with poor self-care. Our study suggests that patient education should include contents to promote comprehensive understanding of heart failure and its symptoms, as well as the importance of self-care behaviors.

HEMANGIOMA OF THE LIVER WITH HEART FAILURE: A CASE REPORT

PEDIATRICS ◽  
1954 ◽  
Vol 14 (2) ◽  
pp. 117-121
Author(s):  
ROBERT W. WINTERS ◽  
SAUL J. ROBINSON ◽  
GEORGE BATES
Keyword(s):  
Heart Failure ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Case Report ◽  
Cardiac Hypertrophy ◽  
Cardiac Failure ◽  
Congenital Heart ◽  
Signs And Symptoms ◽  
Post Mortem ◽  
Great Vessels

A case of multiple hemangiomata of the liver is reported in an infant who presented signs and symptoms strongly suggesting congenital heart disease. The post mortem examination revealed no gross anomalies of the heart or great vessels, but did show a heart with cardiac hypertrophy. A mechanism to explain the cardiac failure in this case is discussed.

scholarly journals DIURETIC RESISTANCE IN ADVANCED HEART FAILURE: A Literature Review

2021 ◽  
Vol 2 (1) ◽  
pp. 8-15
Author(s):  
Anita Surya Santoso ◽  
Mohammad Saifur Rohman ◽  
Indra Prasetya ◽  
Budi Satrijo
Keyword(s):  
Heart Failure ◽  
Prognostic Factor ◽  
Literature Review ◽  
Cardiac Dysfunction ◽  
Signs And Symptoms ◽  
Underlying Mechanism ◽  
Advanced Heart Failure ◽  
Diuretic Resistance

Advanced heart failure (HF) is used to characterized patients in HF with severe symptoms, recurrent decompensation and severe cardiac dysfunction. The prevalencekof HFkis approximatelyg1-2% of thecadult population inhdeveloped countries and it will be rising more than 10%pamongapeoplec>70ayears of age, whereas estimated theoprevalence ofcpatients with advanced HF is about 1% until 10%cof thekoverallkHFopopulation. Most ofkthe HF hospitalizationssare due to signs and symptoms of fluidcoverload.Recurrent congestionccould worsen patientssoutcomes.Loopdiureticssare recommended for thectreatmentcofkcongestionqinprHF patient. cHowever,cdiureticvresistanceeispavcommon problem issueiinpacuteqdecompensationtofcadvancedochronicrheartwfailureq(ACHF) patients and established prognostic factor. Some early reports estimated the prevalence of diuretic resistance about 20%-30% in HF population. In this review, we will be discuss how to diagnose the advancedvheartufailurepand the underlying mechanism of diuretic resistancebin HF patients. We also describe pharmacologicalvand non-pharmacologicalstrategies to overcome this issue.

Signs and symptoms in chronic heart failure: Relevance of clinical trial results to point of care-data from Val-HeFT

2006 ◽  
Vol 8 (5) ◽  
pp. 502-508 ◽  
Author(s):  
Maylene Wong ◽  
Lidia Staszewsky ◽  
Elisa Carretta ◽  
Simona Barlera ◽  
Roberto Latini ◽  
...  
Keyword(s):  
Heart Failure ◽  
Clinical Trial ◽  
Chronic Heart Failure ◽  
Point Of Care ◽  
Signs And Symptoms ◽  
Clinical Trial Results

Abstract MP50: Neighborhood Social And Economic Environment And Heart Failure Risk Among Adults With & Without Diabetes: The Reasons For Geographic And Racial Differences In Stroke (regards) Study

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Gargya Malla ◽  
Andrea Cherrington ◽  
Monika M Safford ◽  
Parag Goyal ◽  
Doyle M Cummings ◽  
...  
Keyword(s):  
Heart Failure ◽  
Racial Differences ◽  
Proportional Hazards ◽  
Signs And Symptoms ◽  
Cox Proportional Hazards ◽  
Economic Environment ◽  
Individual Level ◽  
Black And White ◽  
Regards Study ◽  
Year 2000

Background: Heart failure (HF) mortality rates have been increasing since 2011. Individual-level education and occupation have been inversely associated with HF mortality among those with diabetes mellitus (DM) but not among those without DM. However, less is known about the association between neighborhood social and economic environment (NSEE) and HF risk and whether this association varies by DM status. Methods: This study included 21,244 Black and White adults age >=45 years at baseline (2003-07) from the REGARDS Study. NSEE quartiles were created using z-scores based on 6 census tract variables from year 2000 (% <high school education, % unemployed, % household with <$30,000, % living in poverty, % on public assistance, % without car). Incident HF events (fatal or non-fatal) were adjudicated based on hospitalization with HF signs and symptoms, supportive imaging or biomarkers. Diabetes was defined as fasting glucose >=126 mg/dL or random glucose >=200 mg/dL or use of diabetes medications. Cox proportional hazards regression was used to obtain hazard ratios (95% CI) with HF follow-up through 2016. Results: Mean age was 65 years, 54% were women, 61% were White and 18% had prevalent DM at baseline. During a median 10.1 years, 829 incident HF events occurred. Among adults with DM, neighborhood disadvantage was associated with an increased HF risk , but this association was not statistically significant (Table). Among adults without DM, the risk of HF was higher for participants living in any neighborhood that was not the most advantaged, and the magnitude of association was smiliar across NSEE quartiles. Conclusion: Adults living in disadvantaged neighborhoods had a higher risk of HF, particularly among those without DM. Addressing neighborhood social and economic conditions may be important for HF prevention.

2007 Laennec Clinician/Educator Lecture—Unraveling the Mysteries of Diastology

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Rick Nishimura
Keyword(s):  
Heart Failure ◽  
Diastolic Dysfunction ◽  
Patient Care ◽  
Hospital Admissions ◽  
Critical Role ◽  
Rapid Assessment ◽  
Radionuclide Angiography ◽  
Signs And Symptoms ◽  
Diastolic Filling ◽  
The Past

Diastolic dysfunction plays a critical role in the pathophysiology of producing signs and symptoms of heart failure. Heart failure with a normal ejection fraction (HFnlEF) is one of the leading causes of hospital admissions today and is associated with significant morbidity and mortality. It is thus important to understand the pathophysiology of diastolic dysfunction, which itself is a complex series of multiple interrelated events, including relaxation, suction, ventricular interaction, ventricular arterial coupling, pericardial restraint, and myocardial viscoelastic forces. It was difficult for the clinician to understand “diastology” in the past. Initial studies were limited to complex equations derived from animal models and were difficult to apply to patient care. The development of radionuclide angiography and Doppler echocardiography allowed noninvasive rapid assessment of volumetric filling and flow velocity curves, which began to provide insight into the complex process of diastolic filling for the clinician. As our understanding of diastology evolved over the past 2 decades, it has become clear that we now need to pursue new areas to understand this fascinating subject and apply it to patient care. These areas include the underlying mechanism HFnlEF (ventricular-vascular coupling versus true myocardial stiffness), relationship of rest versus exercise hemodynamics, and the complex ventricular fiber “twisting and shortening” of both contraction and relaxation.

Sign in / Sign up

Export Citation Format

Share Document