Mechanical Circulatory Support

ABCHF

Review Article

Circulatory Support Devices in Acute Heart Failure: Which and When?

Deborah de Sá Pereira Belfort et al. Rafael Cavalcanti Tourinho Dantas Silvia Moreira Ayub-Ferreira

Introduction

Acute heart failure (AHF), which is the syndrome where there is a rapid or gradual worsening of chronic or new heart failure (HF), is one of the main causes of emergency department visits, and it is the leading cause responsible for non-elective hospitalizations in patients over 65 years of age, with an elevated readmission rate at 1 year. In-hospital mortality due to AHF is 3% to 4% in international registries, reaching 12.6% in the Brazilian BREATHE registry. When we analyze the most severe spectrum of AHF, which is cardiogenic shock (CS), in-hospital mortality varies from 32% to 58%, even in international registries.^,

The path to reducing the elevated morbidity and mortality of AHF and CS involves quick and accurate identification and diagnosis, recognition and treatment of decompensating factors, assessment of severity and associated comorbidities, and quick and appropriate implementation of specific therapies to restore multiple organ perfusion.

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ABC

Research Letter

Emerging Topics in Heart Failure: Contemporaneous Management of Advanced Heart Failure

Fabiana G. Marcondes-Braga et al. Jefferson L. Vieira João David de Souza Neto Gustavo Calado … Silvia Moreira Ayub-Ferreira Fernando Bacal Nadine Clausell

Definition

Advanced heart failure (HF) is a condition characterized by persistent severe HF symptoms, frequent episodes of decompensation, and progressive cardiac dysfunction despite optimal evidence-based treatment. These patients may be candidates for advanced therapies, such as heart transplantation (HT), mechanical circulatory support (MCS), and/or palliative care. It should be pointed out that some comorbidities, including pulmonary disease and liver and kidney dysfunction, are now included as possible major determinants of poor prognosis and should be considered during patient evaluation for advanced HF therapies.

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Circulatory Support Devices in Acute Heart Failure: Which and When?

Introduction

Emerging Topics in Heart Failure: Contemporaneous Management of Advanced Heart Failure

Definition

Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)

Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)