keyword
https://read.qxmd.com/read/38379137/success-in-heart-failure-an-investigation-of-heart-failure-readmission-rates-and-medication-regimen-optimization
#1
JOURNAL ARTICLE
Dominic Bracken, Sarah Wagner-Dallas, Destiny Branum
In May 2022, the American College of Cardiology updated their guideline-directed medical therapy for congestive heart failure (CHF) to include four pillars of therapy. These pillars aim to better control patients with heart failure (HF) and reduce the incidence of hospitalization by including an evidence-based beta-blocker, an angiotensin-converting enzyme inhibitor/ angiotensin receptor blocker/angiotensin receptor/ neprilysin inhibitor, a mineralocorticoid receptor antagonist, and newly recommended sodium glucose cotransporter 2-inhibitors...
March 1, 2024: Senior Care Pharmacist
https://read.qxmd.com/read/38206653/chronic-disease-management-through-clinical-video-telehealth-on-health-care-utilization-and-mortality-in-the-veterans-health-administration-a-retrospective-cohort-study
#2
JOURNAL ARTICLE
J Priyanka Vakkalanka, Andrea Holcombe, Marcia M Ward, Knute D Carter, Kimberly D McCoy, Heidi M Clark, Jeydith T Gutierrez, Kimberly A S Merchant, Nicholas M Mohr
Background: Chronic health diseases such as congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and diabetes mellitus (DM) affect 6 in 10 Americans and contribute to 90% of the $4.1 trillion health care expenditures. The objective of this study was to measure the effect of clinical video telehealth (CVT) on health care utilization and mortality. A retrospective cohort study of Veterans ≥65 years with CHF, COPD, or DM was conducted. Measures: Veterans using CVT were matched 1:3 on demographic characteristics to Veterans who did not use CVT...
January 10, 2024: Telemedicine Journal and E-health
https://read.qxmd.com/read/38172681/could-admission-level-of-uric-acid-predict-total-diuretic-dose-in-acute-heart-failure
#3
JOURNAL ARTICLE
Maryam Chenaghlou, Fatemeh Abedi Mahzoon, Sina Hamzehzadeh, Ali Norouzi, Hadi Sahrai, Nasibeh Mohammadi, Negin Khadem Haghighi, Mirsaeed Abdollahi, Mohammadreza Taban Sadeghi, Erfan Banisefid
BACKGROUND: Recent studies have shown that increases in serum UA levels are associated with adverse clinical outcomes in patients with chronic heart failure (CHF); the aim of this study was to determine the relationship between serum uric acid and total diuretic dose received during hospitalization in hospitalized patients with acute exacerbation of heart failure. The main purpose of this study is to determine the role of uric acid as a biomarker that can be a substitute for pro-BNP in clinical evaluation and the need for diuretics in hospitalized patients with acute heart failure...
January 3, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38132659/association-between-psychiatric-disorders-and-the-incidence-of-heart-failure-in-women
#4
JOURNAL ARTICLE
Daniel Antwi-Amoabeng, Vijay Neelam, Mark Bilinyi Ulanja, Bryce David Beutler, Tokunbo David Gbadebo, Prasanna Sugathan
BACKGROUND: Depression and anxiety occur more frequently in women and are associated with an increased risk of cardiovascular disease. OBJECTIVES: Data on the association between these psychiatric conditions and the incidence of acute heart failure (HF) and how they influence heart failure outcomes in women are lacking. We investigated this potential relationship using data from the National Inpatient Sample. METHODS: We used ICD-10 codes to extract encounters for acute heart failure and/or the acute exacerbation of chronic heart failure, anxiety, and depression from the discharge data of the NIS from 2019 to 2020...
December 7, 2023: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38022827/exploring-patterns-of-copd-exacerbations-and-comorbid-flare-ups
#5
JOURNAL ARTICLE
Sanne H B van Dijk, Marjolein G J Brusse-Keizer, Tanja Effing, Paul D L P M van der Valk, Eline H Ploumen, Job van der Palen, Carine J M Doggen, Anke Lenferink
BACKGROUND: Comorbidities are known to complicate disease management in patients with Chronic Obstructive Pulmonary Disease (COPD). This is partly due to lack of insight into the interplay of acute exacerbations of COPD (AECOPD) and comorbid flare-ups. This study aimed to explore patterns of AECOPDs and comorbid flare-ups. METHODS: Data of increased symptoms were extracted from a 12-month daily symptom follow-up database including patients with COPD and comorbidities (chronic heart failure (CHF), anxiety, depression) and transformed to visualizations of AECOPDs and comorbid flare-up patterns over time...
2023: International Journal of Chronic Obstructive Pulmonary Disease
https://read.qxmd.com/read/37946601/influenza-vaccine-effectiveness-pre-pandemic-among-adults-hospitalized-with-congestive-heart-failure-chronic-obstructive-pulmonary-disease-and-older-adults
#6
JOURNAL ARTICLE
Ashley Tippett, Gabby Ess, Laila Hussaini, Olivia Reese, Luis Salazar, Mary Kelly, Meg Taylor, Caroline Ciric, Amy Keane, Andrew Cheng, Theda Gibson, Wensheng Li, Hui-Mien Hsiao, Laurel Bristow, Kieffer Hellmeister, Zayna Al-Husein, Robin Hubler, Elizabeth Begier, Qing Liu, Bradford Gessner, David L Swerdlow, Satoshi Kamidani, Carol Kao, Inci Yildirim, Nadine Rouphael, Christina A Rostad, Evan J Anderson
BACKGROUND: Data are limited about influenza vaccine effectiveness (VE) in the prevention of influenza-related hospitalizations in older adults and those with underlying high-risk comorbidities. METHODS: We conducted a prospective test-negative case-control study at two US hospitals from October 2018-March 2020 among adults ≥50 years of age hospitalized with acute respiratory illnesses (ARIs) and adults ≥18 years admitted with congestive heart failure (CHF) or chronic obstructive pulmonary disease (COPD) exacerbations...
November 8, 2023: Clinical Infectious Diseases
https://read.qxmd.com/read/37941691/real-world-practical-experience-of-angiotensin-receptor-neprilysin-inhibitor-in-older-japanese-patients-with-chronic-heart-failure
#7
JOURNAL ARTICLE
Toshinori Komatsu, Masatoshi Minamisawa, Ayako Okada, Hirohiko Motoki, Toshio Kasai, Koichiro Kuwahara, Uichi Ikeda
INTRODUCTION: Sacubitril/valsartan, an angiotensin receptor-neprilysin inhibitor (ARNI), is superior to enalapril for chronic heart failure (CHF) with reduced ejection fraction (EF). However, its efficacy and safety in older Japanese patients in clinical practice are poorly understood. We aimed to investigate the efficacy and safety of ARNI compared with angiotensin receptor blocker (ARB) in older patients with CHF in real-world clinical practice. In addition, nutritional status and body composition were investigated as essential indicators of efficacy...
October 16, 2023: JMA journal
https://read.qxmd.com/read/37744733/applying-the-rome-proposal-on-exacerbations-of-chronic-obstructive-pulmonary-disease-does-comorbid-chronic-heart-failure-matter
#8
JOURNAL ARTICLE
Petra Kristina Jacobson, Leili Lind, Hans L Persson
BACKGROUND: Chronic heart failure (CHF) is a common comorbidity among patients with chronic obstructive pulmonary disease (COPD). Both exacerbations of COPD (ECOPDs) and exacerbations of CHF (ECHFs) display worsening of breathlessness at rest (BaR) and breathlessness at physical activity (BaPA). Comorbid CHF may have an impact on the vital signs assessed, when the Rome proposal (adopted by GOLD 2023) is applied on ECOPDs. Thus, the aim of the present study was to investigate the impact of comorbid CHF on ECOPDs severity, particularly focusing on the influence of comorbid CHF on BaR and BaPA...
2023: International Journal of Chronic Obstructive Pulmonary Disease
https://read.qxmd.com/read/37698314/congestive-heart-failure-at-the-department-of-medicine-demographic-and-clinical-characteristics
#9
JOURNAL ARTICLE
Avishay Elis, Ella Giladi, Ahmad Raiyan, Alaa Atamna
BACKGROUND: Congestive heart failure (CHF) with reduced ejection fraction (HFrEF) or with preserved ejection fraction (HFpEF) is a common diagnosis in patients hospitalized in the department of internal medicine. Recently, the therapeutic regimens were updated, as the sodium-glucose cotransporter-2 (SGLT2) inhibitors became an integral part of the therapeutic regimen for either HFrEF or HFpEF. OBJECTIVES: To define the demographic and clinical characteristics of CHF patients hospitalized in the department of medicine...
September 2023: Israel Medical Association Journal: IMAJ
https://read.qxmd.com/read/37632957/individualized-nursing-interventions-in-patients-with-comorbid-chronic-obstructive-pulmonary-disease-and-chronic-heart-failure
#10
JOURNAL ARTICLE
Yiqian Hu, Na Zhu, Bian Wen, Han Dong
OBJECTIVE: Individuals with chronic obstructive pulmonary disease (COPD) are more likely to develop heart failure (HF) compared with the general population, and the presence of HF may contribute to reduced quality of life (QoL), increased hospitalizations and worse survival rates in patients with COPD. Our study examined the exercise capacity, QoL, mental health, family burden and rehospitalization rate of patients with comorbid COPD and chronic heart failure (CHF) after individualized inpatient and outpatient nursing care...
August 25, 2023: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/37548033/a-retrospective-analysis-of-immune-checkpoint-inhibitors-in-patients-with-preexisting-organ-dysfunction
#11
JOURNAL ARTICLE
Meghana Kesireddy, Alissa Marr, Makayla Schissel, Apar K Ganti
BACKGROUND: There are limited to no data regarding the use of immune checkpoint inhibitors (ICIs) in patients who have preexisting organ dysfunction because these patients are frequently excluded from clinical trials. The authors' objective was to evaluate the effects of ICIs in patients with chronic kidney disease (CKD), cirrhosis, chronic obstructive pulmonary disease (COPD), and congestive heart failure (CHF). METHODS: Data were obtained retrospectively for patients older than 18 years with solid organ malignancies who received at least one dose of an ICI between January 1, 2015, and January 1, 2021, and had either CKD (n = 90), cirrhosis (n = 20), COPD (n = 142), or CHF (n = 82) before ICI initiation at the authors' institution...
August 7, 2023: Cancer
https://read.qxmd.com/read/37404402/a-delicate-balance-challenges-in-the-management-of-primary-hyperparathyroidism-and-congestive-heart-failure
#12
Nikita Mohan, Rupinder K Bahniwal, Manasi S Shah
Primary hyperparathyroidism (PHPT) is an excessive parathyroid hormone (PTH) production disorder, causing increased calcium levels. Commonly, these cases are asymptomatic and detected incidentally on routine labs. These patients are usually conservatively managed and monitored periodically, including bone and kidney health evaluation. Medical management of severe hypercalcemia secondary to PHPT includes IV fluids, cinacalcet, bisphosphonates, and dialysis, while the surgical treatment is parathyroidectomy. Patients suffering from heart failure with reduced ejection fraction (HFrEF) on diuretics and PHPT require a delicate balance of their volume status to prevent exacerbation of either condition...
June 2023: Curēus
https://read.qxmd.com/read/37305000/tracheoesophageal-prosthesis-malfunction-a-case-report
#13
JOURNAL ARTICLE
Gaurav Mohan, Ashika Ajitkumar, Sivanaga Yarrarapu, Karthik Ashok, Doantrang Du, Douglas Livornese
UNLABELLED: Tracheoesophageal prosthesis (TEP) is an artificial connection between the trachea and esophagus allowing air into the upper esophagus from the trachea thereby vibrating it. TEPs give patients who lose their vocal cords to laryngectomies a tracheoesophageal voice. A potential complication of this is silent aspiration of gastric content. We present a case of a 69-year-old female with a TEP placed after a laryngectomy for laryngeal cancer who presented to the hospital with shortness of breath and hypoxia...
2023: European Journal of Case Reports in Internal Medicine
https://read.qxmd.com/read/37197601/nt-probnp-in-different-patient-groups-of-copd-a-systematic-review-and-meta-analysis
#14
REVIEW
Xiaojie Su, Ting Lei, Haichuan Yu, Lu Zhang, Zhouzhou Feng, Tiankui Shuai, Hong Guo, Jian Liu
PURPOSE: NT-proBNP, a peptide biomarker synthesized and secreted by cardiomyocytes in response to cardiac load, has gained attention in recent years for its potential role in respiratory diseases. Chronic Obstructive Pulmonary Disease (COPD), a chronic and progressive inflammatory condition affecting the respiratory system, is frequently associated with comorbidities involving the cardiovascular system. Consequently, the aim of this systematic review and meta-analysis was to evaluate the variations in NT-proBNP levels across distinct patient groups with COPD and establish a foundation for future investigations into the precise clinical significance of NT-proBNP in COPD...
2023: International Journal of Chronic Obstructive Pulmonary Disease
https://read.qxmd.com/read/36992309/covid-19-and-heart-failure-with-preserved-and-reduced-ejection-fraction-clinical-outcomes-among-hospitalized-patients-in-the-united-states
#15
JOURNAL ARTICLE
Adeel Nasrullah, Karthik Gangu, Harmon R Cannon, Umair A Khan, Nichole B Shumway, Aneish Bobba, Shazib Sagheer, Prabal Chourasia, Hina Shuja, Sindhu Reddy Avula, Rahul Shekhar, Abu Baker Sheikh
Heart failure exacerbations impart significant morbidity and mortality, however, large- scale studies assessing outcomes in the setting of concurrent coronavirus disease-19 (COVID-19) are limited. We utilized National Inpatient Sample (NIS) database to compare clinical outcomes in patients admitted with acute congestive heart failure exacerbation (CHF) with and without COVID-19 infection. A total of 2,101,980 patients (Acute CHF without COVID-19 ( n = 2,026,765 (96.4%) and acute CHF with COVID-19 ( n = 75,215, 3...
February 22, 2023: Viruses
https://read.qxmd.com/read/36792985/reduced-numbers-of-regulatory-t-cells-in-chronic-heart-failure-seems-not-to-be-restored-by-cardiac-resynchronization-therapy
#16
JOURNAL ARTICLE
Sílvia Martins, Natália António, Tiago Carvalheiro, Paula Laranjeira, Ricardo Rodrigues, Lino Gonçalves, Cândida Tomaz, Artur Paiva
BACKGROUND: T cells have been implicated in the development and progression of inflammatory processes in chronic heart failure (CHF). Cardiac resynchronization therapy (CRT) has beneficial effects on symptoms and cardiac remodeling in CHF. However, its impact on the inflammatory immune response remains controversial. We aimed to study the impact of CRT on T cells in heart failure (HF) patients. METHODS: Thirty-nine HF patients were evaluated before CRT (T0) and six months later (T6)...
February 15, 2023: BMC Cardiovascular Disorders
https://read.qxmd.com/read/36758268/meta-analysis-comparing-outcomes-of-remote-hemodynamic-assessment-versus-standard-care-in-patients-with-heart-failure
#17
JOURNAL ARTICLE
Chandan Buttar, Sofia Lakhdar, Nso Nso, Laura Guzman-Perez, Tristan Dao, Kiran Mahmood, Robert Hendel, Carl J Lavie, Giovina Collura, Theo Trandafirescu
In patients with congestive heart failure (CHF), remote hemodynamic monitoring can reduce heart failure exacerbation and mortality. In this study, we compared the effectiveness of remote hemodynamic monitoring with that of standard care in the management of patients with CHF. The remote monitoring group included 7,733 patients, and the control group included 7,567 patients. Chi-square test and I-square statistics were used to assess heterogeneity. Risk ratios (RRs) were calculated using fixed-effects and random-effects methods to determine the risk of all-cause hospitalization and CHF-related hospitalization (primary outcomes) and all-cause mortality and device outcomes (secondary outcomes)...
February 6, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36614865/telerehabilitation-approaches-for-people-with-chronic-heart-failure-a-systematic-review-and-meta-analysis
#18
REVIEW
Sara Isernia, Chiara Pagliari, Nuccia Morici, Anastasia Toccafondi, Paolo Innocente Banfi, Federica Rossetto, Francesca Borgnis, Monica Tavanelli, Lorenzo Brambilla, Francesca Baglio
INTRODUCTION: Telerehabilitation (TR) for chronic heart failure (CHF) allows for overcoming distance barriers and reducing exacerbations. However, little is known about TR descriptors, components, and efficacy in CHF. METHODS: This work systematically reviewed the TR strategies of randomized controlled trials in people with CHF. A meta-analysis was run to test its effect on exercise capacity and quality of life compared to no rehabilitation (NI) and conventional intervention (CI)...
December 21, 2022: Journal of Clinical Medicine
https://read.qxmd.com/read/36378403/correlation-between-the-prognostic-nutritional-index-and-outcomes-in-older-patients-aged%C3%A2-%C3%A2-%C3%A2-60%C3%A2-years-with-chronic-heart-failure
#19
JOURNAL ARTICLE
Chenlin Zhuang, Yudai Chen, Junshan Ruan, Huizhen Yu, Pengli Zhu, YiZhun Zhu
BACKGROUND: Nutritional status is related to clinical outcomes in patients with chronic heart failure (CHF). The prognostic nutritional index (PNI) is a simple tool to assess nutrition. AIM: To evaluate the association between the PNI score and clinical outcomes in patients (60 years and older) hospitalized due to an acute exacerbation of CHF. METHOD: This was a retrospective observational study. Patients hospitalized for acute CHF exacerbation between July 2015 and May 2020 were analyzed...
November 15, 2022: International Journal of Clinical Pharmacy
https://read.qxmd.com/read/36322616/socioeconomic-and-health-related-factors-affecting-congestive-heart-failure-readmissions
#20
JOURNAL ARTICLE
Jollibyrd M Gusto, Angela W Prehn
Congestive heart failure (CHF) readmissions are frequent and costly but preventable. The purpose of this study was to analyze socioeconomic and health-related factors of CHF readmissions by examining the relationship between 30-day readmissions of individuals with CHF and their payer status, race, ethnicity, primary language spoken, living arrangement, and comorbidities. This retrospective case-control study used secondary data from 450 CHF patients admitted to a not-for-profit Northern Virginia hospital from July 2014 to December 2017...
October 31, 2022: Family & Community Health
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