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Advanced Heart Failure, An Issue of Heart Failure Clinics, E-Book

Advanced Heart Failure, An Issue of Heart Failure Clinics, E-Book

James C. Fang | Michael M. Givertz

(2016)

Additional Information

Book Details

Abstract

This issue of the Heart Failure Clinics, edited by Drs. James Fang and Michael Givertz, is entitled "Advanced Heart Failure" and covers a wide array of topics relating to the subject. The issue will delve into the prevalence, history and prognosis of advanced heart failure; cardiorenal interactions; cardiohepatic interactions; the role of temporary mechanical circulatory support; guided therapy; the role of heart transplantation; palliative care; frailty; and novel biological techniques, among other topics.


Table of Contents

Section Title Page Action Price
Front Cover Cover
Advanced Heart Failure\r i
Copyright\r ii
Contributors iii
CONSULTING EDITORS iii
EDITORS iii
AUTHORS iii
Contents v
Preface: Advanced Therapies for Advanced Heart Failure: Time to Raise Awareness\r v
Advanced Heart Failure: Prevalence, Natural History, and Prognosis\r v
Cardiorenal Interactions\r v
Cardiohepatic Interactions: Implications for Management in Advanced Heart Failure\r v
Frailty in Advanced Heart Failure\r v
Tailoring Therapies in Advanced Heart Failure\r vi
Temporary Percutaneous Mechanical Circulatory Support in Advanced Heart Failure\r vi
Role of Durable Mechanical Circulatory Support for the Management of Advanced Heart Failure\r vi
Changing Role of Heart Transplantation\r vi
Cardiac Resynchronization Therapy and Implantable Cardioverter Defibrillator Therapy in Advanced Heart Failure\r vii
Home Inotropes and Other Palliative Care\r vii
Recovery Versus Remission: Clinical Insights\r vii
Novel Biological Therapies Targeting Heart Failure: Myocardial Rejuvenation\r vii
HEART FAILURE CLINICS\r viii
FORTHCOMING ISSUES viii
October 2016 viii
January 2017 viii
April 2017 viii
RECENT ISSUES viii
April 2016 viii
January 2016 viii
October 2015 viii
Preface: Advanced Therapies for Advanced Heart Failure: Time to Raise Awareness\r ix
REFERENCES x
Advanced Heart Failure 323
Key points 323
INTRODUCTION 323
PREVALENCE 324
NATURAL HISTORY 325
PROGNOSIS 327
Clinical Factors 327
Right Heart Factors 328
Laboratory Assessment 329
Medication Intolerance 330
SUMMARY 330
REFERENCES 331
Cardiorenal Interactions 335
Key points 335
INTRODUCTION 335
HEART FAILURE AND RENAL FUNCTION 336
Epidemiology 336
Cardiorenal Syndrome 336
HOW TO ASSESS RENAL DYSFUNCTION 336
Serum Creatinine, Glomerular Filtration Rate, and Blood Urea Nitrogen 336
Novel Biomarkers 339
TREATMENT OF CARDIORENAL SYNDROME 340
Diuretics and Diuretic Response 340
How to Improve Diuretic Response? 341
Investigational Therapies 342
SUMMARY 343
REFERENCES 343
Cardiohepatic Interactions 349
Key points 349
HEPATIC ANATOMY AND PATHOPHYSIOLOGY 349
LIVER DISEASE IN ADVANCED HEART FAILURE 351
Diagnosis of Chronic Liver Disease in Heart Failure 351
Hepatic fibrosis and cirrhosis: histopathology, prevalence, and clinical characteristics 352
Prognosis of Liver Disease in Heart Failure 353
High-Risk Medications in Heart Failure and Liver Dysfunction 353
Hepatitis C and Its Role in Heart Failure 353
CHRONIC LIVER DISEASE AND ADVANCED HEART FAILURE THERAPIES 355
Chronic Liver Disease and Mechanical Circulatory Support 355
Chronic Liver Disease and Heart Transplantation 356
Hepatitis C and Advanced Heart Failure Therapies 356
Novel agents for the treatment of hepatitis C virus and their implications for advanced therapies 357
SUMMARY 357
REFERENCES 358
Frailty in Advanced Heart Failure 363
Key points 363
INTRODUCTION 363
PATHOBIOLOGY OF FRAILTY IN ADVANCED HEART FAILURE 364
ASSESSMENT OF FRAILTY IN ADVANCED HEART FAILURE 365
ROLE FOR FRAILTY ASSESSMENT IN ADVANCED HEART FAILURE 366
PREVALENCE AND IMPACT OF FRAILTY IN ADVANCED HEART FAILURE 367
CONCEPT OF FRAILTY “REVERSAL” IN ADVANCED HEART FAILURE 369
GENERAL STRATEGIES FOR MODIFICATION OF FRAILTY IN ADVANCED HEART FAILURE 371
SUMMARY AND FUTURE DIRECTIONS 371
REFERENCES 372
Tailoring Therapies in Advanced Heart Failure 375
Key points 375
OPTIMIZING MEDICAL THERAPY IN ADVANCED HF 376
INVASIVE HEMODYNAMIC TAILORED THERAPY 377
IMPLANTABLE AMBULATORY HEMODYNAMIC MONITORING 379
TAILORING PATHWAYS TO LEFT VENTRICULAR ASSIST DEVICE/TRANSPLANT 380
TAILORING TO QUALITY OF LIFE 380
TAILORING THE TEAM TO THE PATIENT 380
TAILORING EXPECTATIONS 381
REFERENCES 381
Temporary Percutaneous Mechanical Circulatory Support in Advanced Heart Failure 385
Key points 385
TEMPORARY PERCUTANEOUS DEVICE TYPES AND HEMODYNAMIC EFFECTS 386
Intra-aortic Balloon Pump 388
Impella Circulatory Support System 389
Tandem Heart Percutaneous Ventricular Assist Device System 391
Extracorporeal Membrane Oxygenation 391
THE CARDIOGENIC SHOCK TEAM 394
SUMMARY 397
REFERENCES 397
Role of Durable Mechanical Circulatory Support for the Management of Advanced Heart Failure 399
Key points 399
INTRODUCTION 399
ROLE OF MECHANICAL CIRCULATORY SUPPORT IN ADVANCE HEART FAILURE 399
CLASSIFYING MECHANICAL CIRCULATORY SUPPORT 400
INDICATIONS FOR DEVICE SUPPORT IN THE UNITED STATES 400
SURVIVAL AFTER LEFT VENTRICULAR ASSIST DEVICES 401
SECONDARY BENEFITS OF LEFT VENTRICULAR ASSIST DEVICE SUPPORT 402
COMPLICATIONS 402
Bleeding 403
Stroke 404
Infection 404
Device Thrombosis 404
Right Ventricular Railure 405
ENSURING GOOD OUTCOMES FOR LEFT VENTRICULAR ASSIST DEVICE–SUPPORTED PATIENTS 405
SUMMARY 407
REFERENCES 407
Changing Role of Heart Transplantation 411
Key points 411
INTRODUCTION 411
HEART TRANSPLANT ALLOCATION POLICY 412
Current System 412
The Need for a New Approach 413
Changing the Heart Allocation Policy 413
PRIMARY GRAFT DYSFUNCTION 414
Defining Primary Graft Dysfunction 414
Risk Factors 414
Management and Potential Prevention 414
Sensitization 416
Detection of Anti-HLA Antibodies 416
Approach to the Crossmatch 417
The Calculated Panel-Reactive Antibody 418
Approach to Desensitization 418
Eculizumab 418
SUMMARY 420
REFERENCES 420
Cardiac Resynchronization Therapy and Implantable Cardioverter Defibrillator Therapy in Advanced Heart Failure 423
Key points 423
INTRODUCTION 423
IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS 425
Background Data and Indications 425
Tachyarrhythmia Detection and Therapy 425
CARDIAC RESYNCHRONIZATION THERAPY 426
Landmark Trials in Cardiac Resynchronization Therapy 427
Improving Response to Resynchronization Therapy 428
Intraprocedural Optimization Strategies 428
Postimplant Care for the Patient Undergoing Cardiac Resynchronization Therapy 429
CARDIAC IMPLANTED ELECTRONIC DEVICE THERAPY IN PATIENTS WITH A LEFT VENTRICULAR ASSIST DEVICE 430
Ventricular Arrhythmias in the Patient with a Left Ventricular Assist Device 431
Role of Cardiac Resynchronization Therapy in the Patient with a Left Ventricular Assist Device 433
SUMMARY 433
REFERENCES 433
Home Inotropes and Other Palliative Care 437
Key points 437
INTRODUCTION 437
DEFINITION OF PALLIATIVE CARE 438
TIMING OF REFERRAL FOR PALLIATIVE CARE 438
PHARMACOLOGIC THERAPIES IN ADVANCED HEART FAILURE PATIENTS 438
Inotropes 438
Chronic Home Inotropes 438
Home Inotropic Selection 441
Milrinone 441
Dobutamine 442
Dopamine 442
Digoxin 442
Levosimendan 442
OTHER MEDICATIONS IN ADVANCED HEART FAILURE 443
NONPHARMACOLOGIC AND INVASIVE THERAPIES IN PALLIATIVE CARE 443
PALLIATIVE MEDICINE IN PATIENTS WITH LEFT VENTRICULAR ASSIST DEVICES 443
DEACTIVATION OF PACEMAKERS AND DEFIBRILLATORS IN END-STAGE HEART DISEASE 444
HOSPICE CARE 445
FUTURE DIRECTIONS 445
SUMMARY POINTS 445
REFERENCES 446
Recovery Versus Remission 449
Key points 449
INTRODUCTION 449
POTENTIAL FOR RECOVERY IN RECENT-ONSET CARDIOMYOPATHIES 450
POTENTIAL FOR CLINICAL AND MOLECULAR RECOVERY IN CHRONIC HEART FAILURE ETIOLOGIES 451
Drug Therapies 451
β-adrenergic blockers 451
Renin-angiotensin-aldosterone system antagonism 453
Surgical Therapies 453
Mitral valve replacement and repair 453
Aortic valve replacement 453
Revascularization 453
Device Therapies 453
Cardiac resynchronization therapy 453
VENTRICULAR ASSIST DEVICES: THE EMERGING FIELD OF UNLOADING-INDUCED RECOVERY/REMISSION FOR ADVANCED HEART FAILURE PATIENTS 454
SUSTAINED RECOVERY 455
SUMMARY 456
REFERENCES 456
Novel Biological Therapies Targeting Heart Failure 461
Key points 461
INTRODUCTION 461
CELL-BASED THERAPIES FOR HEART FAILURE WITH REDUCED EJECTION FRACTION 462
Bone Marrow–Derived Mesenchymal Stem Cells 462
Cardiac-Derived Mesenchymal Stem Cells 462
Multiple Stem Cell Therapies 464
REPROGRAMMING SCARRING 464
STIMULATING MYOCYTE CELL CYCLE REENTRY 464
MANIPULATING CELL SIGNALING TO PROMOTE MYOCARDIAL REJUVENATION 465
Neuregulin 1 Beta 465
Stromal Cell–Derived Factor 1 465
Follistatin-related Protein 1 465
Biologic Vasodilators 465
MANIPULATING GENE EXPRESSION TO PROMOTE MYOCARDIAL REJUVENATION 467
Sarcoplasmic Reticulum Ca2+ ATPase 467
Proto-Oncogene Serine/Threonine-Protein Kinase 467
miR-15 468
SUMMARY 468
REFERENCES 468