Search results for "Heart Failure"
Wearable sensor reduces heart failure rehospitalization, industry study finds
A temporary wearable device with remote monitoring reduced heart failure readmissions by 38% among high-risk patients, a manufacturer's trial found.
https://acphospitalist.acponline.org/archives/2024/10/16/wearable-sensor-reduces-heart-failure-rehospitalization-industry-study-finds.htm
16 Oct 2024
U.S. heart failure hospitalizations on the rise again after pandemic drop
Admissions with a primary diagnosis of heart failure decreased from 2010 through 2014 but increased from 2014 to 2021, and associated mortality went up from 2012 onward.
https://acphospitalist.acponline.org/archives/2024/10/09/us-heart-failure-hospitalizations-on-the-rise-again-after-pandemic-drop.htm
9 Oct 2024
Physical rehab safe, effective after HF hospitalization regardless of AF status
Older patients with and without atrial fibrillation (AF) had similar improvements in physical function after completing a rehab program focused on strength, balance, mobility, and endurance that began as soon as safely possible after admission for heart failure (HF) and continued following discharge, a trial found.
https://acphospitalist.acponline.org/archives/2024/09/25/physical-rehab-safe-effective-after-hf-hospitalization-regardless-of-af-status.htm
25 Sep 2024
Scientific statement addresses kidney dysfunction in advanced HF
The American Heart Association offered advice on evaluating and managing kidney dysfunction in patients with advanced heart failure (HF), including which biomarkers to use in hospitalized patients.
https://acphospitalist.acponline.org/archives/2024/09/18/scientific-statement-addresses-kidney-dysfunction-in-advanced-hf.htm
18 Sep 2024
HF inpatient prescribing even worse than indicated by quality improvement research
An analysis of patients treated at community-based hospitals for heart failure (HF) with reduced ejection fraction found that, in 2022, only 17.1% were on three of the guideline-directed medical therapies for HF at discharge, while just 6.0% were on quadruple therapy.
https://acphospitalist.acponline.org/archives/2024/09/18/hf-inpatient-prescribing-even-worse-than-indicated-by-quality-improvement-research.htm
18 Sep 2024
Rapid uptitration of GDMT safe in hospitalized HF patients with afib, analysis finds
Hospitalized patients who were randomized to rapid uptitration of guideline-directed medical therapies (GDMT) for heart failure (HF) had lower rates of all-cause death or HF readmission than those who got usual care, whether or not they also had atrial fibrillation or flutter.
https://acphospitalist.acponline.org/archives/2024/08/21/rapid-uptitration-of-gdmt-safe-in-hospitalized-hf-patients-with-afib-analysis-finds.htm
21 Aug 2024
ACC updates guidance on inpatient heart failure management
Greater emphasis on initiation of guideline-directed medical therapies and incorporation of palliative care are among the changes the American College of Cardiology (ACC) made in its updated consensus decision pathway.
https://acphospitalist.acponline.org/archives/2024/08/14/acc-updates-guidance-on-inpatient-heart-failure-management.htm
14 Aug 2024
Intensive uptitration of guideline-directed medications improved HF outcomes at 90 days
Decongestion and related markers were better in acute heart failure (HF) patients randomized to early and rapid uptitration of neurohormonal blockade during and after hospitalization versus those who got usual care, a post hoc analysis found.
https://acphospitalist.acponline.org/archives/2024/07/17/intensive-uptitration-of-guideline-directed-medications-improved-hf-outcomes-at-90-days.htm
17 Jul 2024
HF hospitalization linked with heightened kidney risk, a study of Medicare patients finds
In a cohort of 85,298 patients ages 65 years or older who were hospitalized for heart failure (HF), 6% progressed to dialysis within one year of admission, 7% had progressed to dialysis or end-stage kidney disease, and 7% had been readmitted due to an acute kidney injury.
https://acphospitalist.acponline.org/archives/2024/06/05/hf-hospitalization-linked-with-heightened-kidney-risk-a-study-of-medicare-patients-finds.htm
5 Jun 2024
MRAs significantly reduced mortality, hospitalizations in HF patients with low eGFR
Patients with heart failure (HF) whose estimated glomerular filtration rate (eGFR) dropped below 30 mL/min/1.73 m2 after starting mineralocorticoid receptor antagonists (MRAs) had better outcomes than those on placebo, potentially justifying continuation of MRAs, a study found.
https://acphospitalist.acponline.org/archives/2024/05/22/mras-significantly-reduced-mortality-hospitalizations-in-hf-patients-with-low-egfr.htm
22 May 2024
Decongestion strategies inconsistently applied in U.S. patients hospitalized for heart failure
Estimated weight loss due to inpatient decongestion varied across 31 hospitals, with some patients gaining weight during admission, a cohort study found.
https://acphospitalist.acponline.org/archives/2024/05/15/decongestion-strategies-inconsistently-applied-in-us-patients-hospitalized-for-heart-failure.htm
15 May 2024
Certain urinary proteins tied to heart failure outcomes
An analysis of patients with heart failure with preserved ejection fraction identified 21 urinary proteins or peptides that may be associated with risk of death or hospital admission.
https://acphospitalist.acponline.org/archives/2024/05/01/certain-urinary-proteins-tied-to-heart-failure-outcomes.htm
1 May 2024
Two in five HF patients not on guideline-directed medical therapy at discharge
A study of Veterans Affairs hospitals found that 42% of patients hospitalized for heart failure (HF) in 2013 to 2019 were not prescribed all guideline-recommended medications at discharge, and those receiving care at urban hospitals were even less likely to receive the treatments.
https://acphospitalist.acponline.org/archives/2024/04/10/two-in-five-hf-patients-not-on-guideline-directed-medical-therapy-at-discharge.htm
10 Apr 2024
Early dapagliflozin initiation in acute heart failure reduced diuretic doses for inpatients
An industry-funded trial found that patients hospitalized with acute heart failure who received early dapagliflozin treatment had no increase in diabetic, renal, or cardiovascular safety events compared with those undergoing usual care.
https://acphospitalist.acponline.org/archives/2024/04/03/early-dapagliflozin-initiation-in-acute-heart-failure-reduced-diuretic-doses-for-inpatients.htm
3 Apr 2024
Diagnose, address cognitive impairment in heart failure patients, society says
A new scientific statement from the Heart Failure Society of America advises clinicians to be alert to clues such as difficulty with money or running out of medicine, among other recommendations.
https://acphospitalist.acponline.org/archives/2024/03/20/diagnose-address-cognitive-impairment-in-heart-failure-patients-society-says.htm
20 Mar 2024
Early treatment with spironolactone not effective for new-onset acute HF
Patients with acute heart failure (HF) who received spironolactone at discharge did not have a lower risk for HF readmission or mortality over the next year but were at higher risk for hyperkalemia, a retrospective cohort study in U.S. hospitals found.
https://acphospitalist.acponline.org/archives/2024/03/06/early-treatment-with-spironolactone-not-effective-for-new-onset-acute-hf.htm
6 Mar 2024
CAD testing associated with improved outcomes in new-onset heart failure
A retrospective cohort study found that risk for heart failure readmission or all-cause mortality was lower in patients hospitalized with new-onset heart failure who underwent coronary artery disease (CAD) testing within 90 days.
https://acphospitalist.acponline.org/archives/2024/01/31/cad-testing-associated-with-improved-outcomes-in-new-onset-heart-failure.htm
31 Jan 2024
IV iron reduces risk of death, hospitalization in heart failure, meta-analysis finds
The combined results of 14 trials testing IV iron in patients with iron deficiency and heart failures showed significant benefit from iron overall, with potentially greater effect in those with lower baseline transferrin saturation.
https://acphospitalist.acponline.org/archives/2024/01/03/iv-iron-reduces-risk-of-death-hospitalization-in-heart-failure-meta-analysis-finds.htm
3 Jan 2024
About 10% of home hospitalizations for HF require escalation of care
Median length of home hospital stay more than doubled when patients who were hospitalized at home for acute decompensated heart failure (HF) required transfer to an ED or medical inpatient unit, a retrospective study found.
https://acphospitalist.acponline.org/archives/2023/12/13/about-10percent-of-home-hospitalizations-for-hf-require-escalation-of-care.htm
13 Dec 2023
Study analyzes sex differences worldwide in patients hospitalized for heart failure
Data from 44 countries in REPORT-HF found that in all geographic regions women in the hospital with heart failure were less likely to receive diagnostic tests or guideline-directed care than men.
https://acphospitalist.acponline.org/archives/2023/09/06/study-analyzes-sex-differences-worldwide-in-patients-hospitalized-for-heart-failure.htm
6 Sep 2023