Advanced heart failure: from definitions to therapeutic options

Garascia, Andrea; Palazzini, Matteo; Tedeschi, A; Sacco, Alice; Oliva, Fabrizio; Gentile, Piero

doi:10.1093/eurheartjsupp/suad028

Cited by 5 publications

(2 citation statements)

References 27 publications

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“…Nevertheless, a potential role in remotely monitoring patients listed for HT is emerging. Elevated pulmonary vascular resistance, particularly if refractory to medical therapy, may represent a contraindication to HTx, depending on its severity [85]. No clinical experience regarding using a remote monitor in the "bridge to transplantation" strategy has been described.…”

Section: What Is the Role Of Remote Invasive Pressure Monitoring In A...mentioning

confidence: 99%

Heart Failure Management through Telehealth: Expanding Care and Connecting Hearts

Tedeschi,

Palazzini,

Trimarchi

et al. 2024

JCM

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Heart failure (HF) is a leading cause of morbidity worldwide, imposing a significant burden on deaths, hospitalizations, and health costs. Anticipating patients’ deterioration is a cornerstone of HF treatment: preventing congestion and end organ damage while titrating HF therapies is the aim of the majority of clinical trials. Anyway, real-life medicine struggles with resource optimization, often reducing the chances of providing a patient-tailored follow-up. Telehealth holds the potential to drive substantial qualitative improvement in clinical practice through the development of patient-centered care, facilitating resource optimization, leading to decreased outpatient visits, hospitalizations, and lengths of hospital stays. Different technologies are rising to offer the best possible care to many subsets of patients, facing any stage of HF, and challenging extreme scenarios such as heart transplantation and ventricular assist devices. This article aims to thoroughly examine the potential advantages and obstacles presented by both existing and emerging telehealth technologies, including artificial intelligence.

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Section: What Is the Role Of Remote Invasive Pressure Monitoring In A...mentioning

confidence: 99%

Heart Failure Management through Telehealth: Expanding Care and Connecting Hearts

Tedeschi,

Palazzini,

Trimarchi

et al. 2024

JCM

Self Cite

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“…Chronic heart failure (HF) is a clinical syndrome with high morbidity and mortality worldwide and a tremendous socioeconomic burden[ 1 , 2 ]. Depending on the development and progression of the disease, advanced stages are associated with a reduced survival[ 3 ]. The prevalence of HF in Europe appears to be 12% of adults, increasing with age from 1% for those aged < 55 years to > 10% in those aged 70 years or more, while the incidence is approximately 5/1000 person-years[ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Latest updates on structure and recommendations of cardiac rehabilitation programs in chronic heart failure

Kourek,

Briasoulis,

Magouliotis

et al. 2024

World J Clin Cases

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Chronic heart failure (HF) is a clinical syndrome with high morbidity and mortality worldwide. Cardiac rehabilitation (CR) is a medically supervised program designed to maintain or improve cardiovascular health of people living with HF, recommended by both American and European guidelines. A CR program consists of a multispecialty group including physicians, nurses, physiotherapists, trainers, nutritionists, and psychologists with the common purpose of improving functional capacity and quality of life of chronic HF patients. Physical activity, lifestyle, and psychological support are core components of a successful CR program. CR has been shown to be beneficial in all ejection fraction categories in HF and most patients, who are stable under medication, are capable of participating. An individualized exercise prescription should be developed on the basis of a baseline evaluation in all patients. The main modalities of exercise training are aerobic exercise and muscle strength training of different intensity and frequency. It is important to set the appropriate clinical outcomes from the beginning, in order to assess the effectiveness of a CR program. There are still significant limitations that prevent patients from participating in these programs and need to be solved. A significant limitation is the generally low quality of research in CR and the presence of negative trials, such as the rehabilitation after myocardial infarction trial, where comprehensive rehabilitation following myocardial infraction had no important effect on mortality, morbidity, risk factors, or health-related quality of life or activity. In the present editorial, we present all the updated knowledge and recommendations in CR programs.

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Contemporary clinical role of echocardiography in patients with advanced heart failure

Nuzzi,

Manca,

Mulè

et al. 2024

Heart Fail Rev

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Advanced heart failure: from definitions to therapeutic options

Cited by 5 publications

References 27 publications

Heart Failure Management through Telehealth: Expanding Care and Connecting Hearts

Heart Failure Management through Telehealth: Expanding Care and Connecting Hearts

Latest updates on structure and recommendations of cardiac rehabilitation programs in chronic heart failure

Contemporary clinical role of echocardiography in patients with advanced heart failure

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