心不全治療薬を始めない、また増量しない、中断すると、イベントリスクがこんなに…😱💦💦

#HFrEF
#HFpEF
#ガイドライン

Improved Outcomes of Conduction System Pacing in Heart Failure with Reduced Ejection Fraction – A Systematic Review and Meta-analysis, by Geoff Wong and colleagues heartrhythmjournal.com/article/S1547-…

7/ This means that reduced LA reservoir strain may just as well be due to reduced LV systolic function (MAPSE is reduced both in HFrEF and HFpEF ), as reduced LV systolic function is also a cause for increased LA pressure.

Gregg Fonarow MD Muthu Vaduganathan U.S. FDA Steve Greene Brendon Neuen @[email protected] Shelley Zieroth Alfonso Valle Ankeet S. Bhatt, MD, MBA Diego Segura-Rodriguez GoggleDocs Javed Butler JAMA Cardiology Dr. Deepak L. Bhatt Adrian “WE NEED RCTS!” Hernandez Clyde Yancy, MD, MSc John R Teerlink, MD HFSA JAMA Implementation is key now. We have the evidence that SGLT2i (or dual SGLT1/2i) work, now our patients have to receive it
Similar to MRA. We know spironolactone works in HFrEF but only 33% of patients were receiving it in the CHAMP-HF Jonathan Davis, MD, MPHS Steve Greene Harriette Van Spall, MD MPH

#moredataneeded !
HFrEF, mrEF, pEF - does EF still matter?
And especially what to do when LVEF returns to normal?
#GDMT : clear evidence for SGLT2i, but what about BB, MRA, RASi, Ivabradine, sGC-stimulators

#HeartFailure2023 #esc #HFA_ESC

An external validation site is where predictive models generally go to die

So glad to see our HFrEF v HFpEF phenotyping model holding up well in a sample from an entirely distinct system

jacc.org/doi/10.1016/j.…

Kudos to authors for pursuing and to JACC HF for publishing this

Great to add to the growing literature & multiple late-breaking studies #HOTCRT by Pugal Vijayaraman on conducting system pacing at #HRS2023

More patient tailored resynchronization options the better for #HFREF

Alex Voskoboinik Chrishan Nalliah Dr. Jonathan Lipton Edward J Schloss MD Roderick Tung Weijian Huang

Carlos G Santos-Gallego, MD david leon jimenez Dr. Deepak L. Bhatt ChristosArgyropoulos MD, PhD FlozinatorInChief James Januzzi Jr MD Shelley Zieroth Harriette Van Spall, MD MPH Muthu Vaduganathan Anu Lala-Trindade Sumeet Singh Mitter, MD, MSc Pam R. Taub, MD❤️💃🏻 SGLT2inhibitor_lover Sanjay Kaul Andrew J Sauer MD Thanks Dr. Gallego! I like Farxiga, and have been prescribing it alot for HFpEF, HFrEF, CKD and DM2.

Risk of lack of initiation of GDMT in HFrEF, by drug class 👇

📚 courtesy of Gregg Fonarow MD and Steve Greene
#ACCFIT

I love how Blue Cross Anthem is denying access to Entresto to my HFREf patients…that had been on the medicine since 2019…..Make it stop….

Excited to share this perspective. Exercise interventions have become foundational therapies in HFrEF and HFpEF, but remain underutilized. Looking forward to further testing/implementing current regimens (i.e. REHAB-HFpEF) and to studying new paradigms to improve sustainability.

Our results about cardiac reverse remodeling in HFrEF patients #HeartFailure2023 #prage

Breaking news: FDA has just approved sotagliflozin (brand name 'Inpefa') for Treatment of Heart Failure!!!!

Broad label across full LVEF range (HFpEF&HFrEF), and for patients with or without T2DM

First dual SGLT1/2 inhibitor to be approved in HF

Dr. Deepak L. Bhatt ChristosArgyropoulos MD, PhD FlozinatorInChief

Enjoyed sharing our work studying the effects of pre-existing AF on outcomes in HFrEF and HFpEF patients at #ACC23 with Shari (Grossman) Kennedy Hanna Gaggin Mass General Heart MGH IM Residents

Which treatment sequence to use for HF ?

Animated discussion between clara saldarriaga & Milton Packer, enthusiastically hosted by Mewton Nathan 🤗

Watch their #HFASnacks

#HFA_ESC #HeartFailure2023

Thank you sir and bless you for your respect and caring!
Credit: ViralHog
🔸 For more inspiration and uplifting stories, please follow 👉 Epoch Inspired

#OnMyMind : New paradigms to address long-term exercise adherence, an Achilles heel of lifestyle interventions Anthony Peters Robert Mentz, MD Duke Clinical Research Institute Duke Heart #AHAJournals ahajournals.org/doi/10.1161/CI…

Recording #HFAsnacks2023 at #HeartFailure2023 with the great Milton Packer & clara saldarriaga on how to implement HFrEF quadritherapy ! 🤩🤩🤩🤩
James Januzzi Jr MD HFAPresident Wilfried Mullens Shelley Wood (she/her) Nicolas Girerd Laura Meems

Interesting discussion on HFREF treatment implementation during #HeartFailure2023 #Cardiology meeting ! With two exciting stars ⭐️ Miltonpacker & clara saldarriaga ! Share and check it out ! Théo Pezel Pr D ANGOULVANT Stephan Achenbach Javed Butler

Exercise training in Heart failure with Preserved and Reduced Ejection Fraction: A Systematic Review and Meta-Analysis by Jamie Edwards and Dr Jamie O'Driscoll 🏃‍♂️💪🏌️‍♂️🚴‍♂️🚣‍♂️🏋️‍♂️
📌⏫exercise capacity⏫quality of life 👥 HFpEF/HFrEF.
📌👥HFpEF⏬E/e*
📌👥HFrEF ⏬BNP/NTproBNP
📌↔️🏥⚰️

🚨 #SimPub #HeartFailure2023 now in JAMA Cardiology

Eligible 🇺🇸 pts hospitalized for #HFrEF ...

⚠️Only 1 in 5 discharged on #SGLT2i

⚠️<1 in 10 on #quadtherapy

⬆️⬆️ variation in use by🏥 (some high, some ZERO)

We must overcome implementation barriers

jamanetwork.com/journals/jamac…

It shows beautifully, that HFrEF patients can be on the flat part of Starling curve with lower filling pressures.

HAPPY SUNFLOWERS - oil painting by L.Afremov, only today for $168. Free fast shipping. Directly from the Afremov family afremov.com/happy-sunflowe…

#VEXUS post after a long time:

This might be the first time where I saw all three doppler US 'severely abnormal'. VExUs Grade 3.

56 y/o male with HFrEF 15% admitted for HF exacerbation. Minimal pedal edema. JVP+. IVC 2.3 cm.

VExUS and Echo below:
#POCUS #CriticalCare #MedEd

Shouldn't HFmrEF be aetiologically more related to HFrEF than HFpEF!?
#HeartFailure2023 #esc #HFA_ESC

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