Heart Failure Information Center Archive

Healthday Heart failure, hearing loss linked in older patients

Heart failure, hearing loss linked in older patients

Patients with heart failure might have a greater risk for cardiovascular comorbidities and hearing loss.

News Depressive symptoms may increase mortality risk in patients undergoing aortic valve replacement

Depressive symptoms may increase mortality risk in patients undergoing aortic valve replacement

In patients undergoing TAVR or SAVR, approximately 1 in 3 had depressive symptoms at baseline and a higher risk of short-term and midterm mortality.

Feature Case Study: Lower extremity edema and heart failure in a middle-aged woman

Case Study: Lower extremity edema and heart failure in a middle-aged woman

A 55-year-old obese woman with hypertension, diabetes, and scleroderma is referred for follow-up after a recent admission for new-onset heart failure.

News Endovascular strategy more effective than open repair for ruptured abdominal aortic aneurysms

Endovascular strategy more effective than open repair for ruptured abdominal aortic aneurysms

Treating patients with ruptured abdominal aortic aneurysms with endovascular strategy over open repair may increase survival and decrease cost.

News Vitamin D supplements reduce depressive symptoms, cardiac events in moderate to severe depression

Vitamin D supplements reduce depressive symptoms, cardiac events in moderate to severe depression

In patients with depressive symptoms, vitamin D deficiency with no additional supplements had the highest depressive score at 6 months and shortest cardiac event-free survival.

News Natriuretic peptide-guided therapy does not improve outcomes in high-risk heart failure patients

Natriuretic peptide-guided therapy does not improve outcomes in high-risk heart failure patients

NT-proBNP-guided treatment strategy did not improve outcomes compared with a usual care strategy in high-risk patients with heart failure.

Feature A faster heart rate and numbness: Is the patient having a heart attack?

A faster heart rate and numbness: Is the patient having a heart attack?

A 30-year-old woman presents with an increased heart rate, shortness of breath, and tingling in her right arm.

Healthday New data show aspirin safe for heart failure patients

New data show aspirin safe for heart failure patients

Data from a clinical trial show that patients taking daily aspirin were not at heightened risk of being hospitalized for heart failure.

Feature Managing systolic heart failure

Managing systolic heart failure

Primary care providers can help significantly reduce heart failure exacerbations and improve their patients' overall quality of life.

Healthday Heart failure hospitalization rate declining in the United States

Heart failure hospitalization rate declining in the United States

There were 526.86 hospital admissions for every 100,000 people in 2002, compared with 364.66 per 100,000 in 2013.

News Managing patients with chronic heart failure

Managing patients with chronic heart failure

Clinicians will encounter more patients at risk for CHF as the population ages and cardiovascular risk factors become more prevalent.

Healthday ICU may be overused for some patients with heart or lung disease

ICU may be overused for some patients with heart or lung disease

Researchers also observed no difference in 30-day mortality rates between patients in the ICU and those who received regular inpatient care in another hospital unit.

Healthday Ambulatory diuretic therapy lowers costs in decompensated heart failure

Ambulatory diuretic therapy lowers costs in decompensated heart failure

Ambulatory high-dose intravenous diuretic therapy could be cost saving compared with hospitalization for intravenous loop diuretic therapy.

News NSAID use linked to increased risk of heart failure hospitalization

NSAID use linked to increased risk of heart failure hospitalization

Some individual NSAIDs may be linked to increased risk of hospital admission for heart failure.

News Common medications can cause or worsen heart failure, cautions AHA

Common medications can cause or worsen heart failure, cautions AHA

The American Heart Association has published a scientific statement that outlines which medications cause or exacerbate heart failure.

News Vagal nerve stimulation does not reduce mortality in heart failure patients

Vagal nerve stimulation does not reduce mortality in heart failure patients

At 16 months, 30.3% of patients either died or experienced worsening heart failure.

News FDA issues warning for 2 diabetes drugs linked to risk of heart failure

FDA issues warning for 2 diabetes drugs linked to risk of heart failure

The FDA will add warnings about heart failure risk to the labels of type 2 diabetes medicines containing saxagliptin and alogliptin.

News Coronary bypass surgery reduces mortality for patients with heart failure

Coronary bypass surgery reduces mortality for patients with heart failure

Patients with coronary artery disease who were previously not considered candidates for CABG may benefit from the surgery.

Healthday Incretin-based medications do not increase heart failure hospitalization

Incretin-based medications do not increase heart failure hospitalization

Regardless of history of heart failure, incretin-based medications are not associated with an increased risk for hospitalization due to heart failure.

News Obese heart failure patients may benefit from bariatric surgery

Obese heart failure patients may benefit from bariatric surgery

Patients who were obese and underwent bariatric surgery saw a significant reduction in heart failure-related exacerbation events.

News Is heart failure linked to DPP-4 inhibitor use in patients with diabetes?

Is heart failure linked to DPP-4 inhibitor use in patients with diabetes?

Current evidence is inadequate to determine how DPP-4 inhibitors affect the risk of heart failure in patients with type 2 diabetes.

News AHA checklist score may predict heart failure

AHA checklist score may predict heart failure

A one-point increase in the American Heart Association's Life's Simple 7 checklist correlated to a 23% lower risk of developing heart failure.

News Influenza vaccine may reduce all-cause mortality rates in patients with heart failure

Influenza vaccine may reduce all-cause mortality rates in patients with heart failure

Patients with heart failure who receive the influenza vaccine may have a lower risk for all-cause mortality compared with those who do not get the vaccine.

News Ventricle pacing reduces heart failure in chronic kidney disease patients

Ventricle pacing reduces heart failure in chronic kidney disease patients

Researchers found a 15% to 20% reduction in the risk of hospitalization for or death from heart failure in patients who received cardiac resynchronization therapy with defibrillator (CRT-D).

News Monitoring is advised for adults born preterm

Monitoring is advised for adults born preterm

Premature birth has been associated with a number of adverse health conditions.

Healthday Restricting sodium may be detrimental in chronic heart failure

Restricting sodium may be detrimental in chronic heart failure

Chronic heart failure patients who restrict sodium intake may have an increased risk of death or hospitalization.

News Researchers link pulse pressure to adverse outcomes in heart failure patients

Researchers link pulse pressure to adverse outcomes in heart failure patients

Researchers have linked pulse pressure to adverse outcomes in heart failure patients with both reduced ejection fraction and preserved ejection fraction.

Healthday IV diuretics safe and effective in chronic heart failure care

IV diuretics safe and effective in chronic heart failure care

Researchers examined the effectiveness of diuretic treatment for volume management in patients with chronic heart failure and evidence of worsening congestion.

News Mirabegron fails to improve LVEF in heart failure patients

Mirabegron fails to improve LVEF in heart failure patients

Researchers on the BEAT-HF trial have concluded that, in patients with chronic heart failure, mirabergron failed to improve left ventricular ejection fraction.

News Vericiguat well tolerated but not statistically significant in reducing natriuretic peptide level in patients with chronic heart failure

Vericiguat well tolerated but not statistically significant in reducing natriuretic peptide level in patients with chronic heart failure

A phase 2 trial of the drug vericiguat did not show a statistically significant reduction of N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels in patients with worsening chronic heart failure.

News Elevated total bilirubin, transaminases reported in chronic heart failure patients with poor prognosis

Elevated total bilirubin, transaminases reported in chronic heart failure patients with poor prognosis

Researchers evaluate the echocardiographic correlates of elevated total bilirubin and transaminases in patients with chronic heart failure.

Healthday Ranolazine shows improvements over traditional antianginal medications

Ranolazine shows improvements over traditional antianginal medications

A study published in The American Journal of Cardiology shows that newer antianginal (AA) medications - including ranolazine - show substantial outcome improvements when compared to traditional AA medications.

Healthday Regular consumption of sweetened beverages increases heart failure risk

Regular consumption of sweetened beverages increases heart failure risk

Regularly drinking sweetened beverages can increase the risk of heart failure in men by 23% compared with those who do not consume these drinks.

Healthday New guideline established for managing supraventricular tachycardia

New guideline established for managing supraventricular tachycardia

The American College of Cardiology has published a guideline for the management of supraventricular tachycardia (SVT) in adult patients.

Healthday More intensive hypertension control benefits older adults

More intensive hypertension control benefits older adults

Reaching a systolic pressure of 120 mm HG reduces the risk of heart attack, heart failure, and stroke by a third.

Healthday Very high, very low physical activity increases heart failure risk

Very high, very low physical activity increases heart failure risk

Extremely high and low amounts of physical activity increase heart failure risk in men.

News Older adults with healthy lifestyle have lower heart failure risk

Older adults with healthy lifestyle have lower heart failure risk

Older adults who exercise, drink moderately, don't smoke, and have a healthy weight have a lower risk of heart failure.

News Preventing premature ventricular contractions can prevent heart failure

Preventing premature ventricular contractions can prevent heart failure

Premature ventricular contractions may be a modifiable risk factor for heart failure and death.

Healthday Entresto approved for heart failure treatment

Entresto approved for heart failure treatment

Entresto significantly reduced rates of cardiovascular death and hospitalization in heart failure.

News Five variables influence heart failure readmission risk

Five variables influence heart failure readmission risk

Risk prediction model could help determine patients at greater risk for 30-day readmission.

News Six ways to lower heart attack risk in women

Six ways to lower heart attack risk in women

Women's risk for heart attack can be significantly lowered through six healthy lifestyle practices.

Healthday Heart failure survival rates higher in obese, overweight patients

Heart failure survival rates higher in obese, overweight patients

The researchers found that 38% of obese and 45% of overweight patients died over 10 years, compared with 51% of normal-weight patients.

Feature Yellow lights, digoxin toxicity

Yellow lights, digoxin toxicity


A woman complaining of seeing yellow lights is diagnosed with digoxin toxicity.

Curated Screening increases COPD, heart failure diagnoses

Screening increases COPD, heart failure diagnoses

Screening elderly patients for heart failure and chronic obstructive pulmonary disease can increase detection.

News Physical activity tied to lower heart-failure risk

Physical activity tied to lower heart-failure risk

Leisure-time physical activity was inversely related to risk of developing heart failure in this study from Circulation: Heart Failure.

News Follow-up care improves heart-failure outcomes

Follow-up care improves heart-failure outcomes

Heart failure patients receiving continuity care after ED discharge were less likely to experience hospitalization or death.

Feature Listening saved a life

Listening saved a life

After listening to a patient, this clinician urged an in-person visit that led to an ED admission for atrial fibrillation and heart failure.

News Heart failure more prevalent with COPD

Heart failure more prevalent with COPD

Patients with both conditions had longer than average hospital stays, greater in-hospital mortality, and a higher rate of discharge to long-term care facilities.

Feature Subtle signs of a failing heart

Subtle signs of a failing heart

Complaints about lack of sleep and postnasal drip may describe worsening heart failure.

News Marijuana linked to heart issues in young adults

Marijuana linked to heart issues in young adults

Association not strong enough to establish causality, but important as more states consider legalizing the drug.

News Saxagliptin may pose heart failure risk

Saxagliptin may pose heart failure risk

The FDA will investigate possible links between the diabetes drugs Onglyza and Kombiglyze XR and heightened risk for heart failure among users.

News Physical inactivity linked to heart failure in men

Physical inactivity linked to heart failure in men

Low physical activity and high sedentary time are associated with an increased risk for heart failure among middle-aged men.

News Midlife workouts cut heart risk

Midlife workouts cut heart risk

Adults who increase their fitness level in midlife or maintain high fitness levels have lower heart failure hospitalization rates later.

News Long-detection intervals better in ICD therapy

Long-detection intervals better in ICD therapy

Among patients receiving their first ICD, using long-detection intervals reduced the number of inappropriate shocks delivered.

News

Heart failure admissions decline in U.S.

U.S. heart failure (HF) hospitalizations decreased by 29.5% during the past decade, data from a fee-for-service Medicare claims analysis conducted from 1998 to 2008 indicate.

News

Tai chi benefits heart failure patients

Adding a tai chi exercise program to standard medical care may help improve quality of life and mood among patients with heart failure.

Feature

Combination CRT and ICD therapy may reduce HF hospitalizations, deaths

Previous trials investigating cardiac resynchronization therapy (CRT) (biventricular pacing) combined with an implantable cardioverter defibrillator (ICD) in patients with heart failure have shown nonsignificant improvements in mortality compared with ICD monotherapy. But a newer study has promising results.

Feature

Hyponatremia on the rise

I seem to be seeing a lot more hyponatremia. Some of these patients are taking diuretics, while others have psychogenic polydipsia or syndrome of inappropriate antidiuretic hormone secretion (SIADH). Others have no known cause. Is there an explanation for this increase?

News

Heart failure therapy more effective in certain populations

Women experienced greater reductions in HF and death after CRT-D than men.

News

U.S. heart disease costs expected to triple by 2030

American Heart Association estimates 40.5% of Americans will develop some form of cardiovascular disease.

News

Painkillers linked to heart problems

Clinicians should be aware of cardiovascular risks with NSAIDs and COX-2 inhibitors.

Feature A practical guide to heart-failure diagnosis

A practical guide to heart-failure diagnosis

Characterized by impaired myocardial performance, heart failure is often misdiagnosed. Clinicians should focus on prevention and early detection

Feature

Ivabradine may reduce HF mortality, hospital admission

Ivabradine is a novel agent that lowers heart rate by inhibiting the I(f) current in the sinoatrial node.

Feature

Managing hyponatremia

Some individuals develop hyponatremia when on a diuretic — not because the sodium level is diluted, but because the diuretic causes the sodium to be excreted with the excess fluid.

Feature

Alternatives to insulin

In rural health-care settings, many patients are reluctant to use insulin.

Feature L-arginine used for heart failure and erectile dysfunction

L-arginine used for heart failure and erectile dysfunction

This amino acid is mainly taken for its vasodilatory effects, but serious safety issues limit its use.

News BP variability signals cardiovascular events

BP variability signals cardiovascular events

Variability in a patient's BP is a strong predictor of stroke, heart failure, angina, and MI.

News

Nitrates or ACE inhibitors within 24 hours of acute MI reduce 10-Day mortality

Neither beta blockers nor calcium channel blockers given during the first 24 hours were found to reduce all-cause mortality.

Feature

Misdiagnosis of smoker's chest pain

The patient seemed to have GERD and responded to treatment. But then he had a fatal heart attack.

News PCPs on the front line for atrial fibrillation

PCPs on the front line for atrial fibrillation

Diagnosing atrial fibrillation could sharply reduce strokes in the United States, and primary-care providers have a key role to play.

News

Heart failure strikes young blacks hardest

Young African Americans are developing heart failure (HF) before age 50 years at a rate 20 times higher than whites.

News

Exercise after heart attack helps—until it stops

Exercise improves blood vessel function after myocardial infarction—but only as long as the patient sticks with it.

News

Perioperative beta blockers reduce rate of nonfatal MI

But increase stroke and may increase mortality

News

Diet tips for heart failure, COPD updated

Registered dietitians have some new advice for your patients with heart failure or chronic obstructive pulmonary disease.

Alerts Clinicians puzzled by an unusual, elusive postsurgical sequela

Clinicians puzzled by an unusual, elusive postsurgical sequela

Fatigue, fever, and chills plague a patient following valve replacement. The solution requires a multidisciplinary approach.

News

Aspirin and first heart attacks in diabetics

A large study has shown that aspirin and antioxidant supplements are ineffective in the primary prevention of heart attacks in people with diabetes and asymptomatic arterial disease

News

Fibrate used in combination with statin approved

The FDA has approved Trilipix (fenofibric acid), a delayed-release capsule for use along with diet to treat dyslipidemia. Trilipix is the first fibrate to be approved for use in combination with a statin.

News

Top 10 health stories of 2008

Blood sugar goals, stem cells, CT scans, health reform--these are some of the issues to make the list of most important stories of the year, as chosen by the Harvard Health Letter.

News

Ambulatory BP betters office reads for CV risk

A recent report found that office BP has no value in predicting cardiovascular (CV) morbidity and mortality in patients with resistant hypertension. Higher ambulatory measurements, however, are good indicators of these outcomes, according to the same report.

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Noninvasive ventilation may improve respiratory distress in acute heart failure

The Three Interventions in Cardiogenic Pulmonary Oedema (3CPO) trial evaluated ventilation strategies for patients with respiratory distress due to acute heart failure...

Feature

n-3 Polyunsaturated fatty acids reduce all-cause mortality in patients with chronic heart failure

The GISSI-HF randomized placebo-controlled trial also evaluated n-3 polyunsaturated fatty acids (PUFAs) in 357 cardiology or internal medicine centers in Italy...

Feature

Rosuvastatin does not reduce morbidity/mortality in chronic heart failure

The Gruppo Italiano per lo Studio della Sopravvivenza nell'Insufficienza Cardiaca (GISSI-HF) randomized placebo-controlled trial evaluated rosuvastatin (Crestor) in 357 cardiology or internal medicine centers in Italy.

Feature

BE WARY OF BETA-AGONISTS IN CHF PATIENTS

We seem to use beta-agonists for everything that wheezes these days. While these agents are technically for asthma, we routinely use...

Feature Preoperative evaluation: Take it step by step

Preoperative evaluation: Take it step by step

Identifying patients at higher risk for mortality and morbidity during the perioperative period can lead to strategies to minimize those risks.

Feature Are you treating BP aggressively enough?

Are you treating BP aggressively enough?

According to new recommendations, patients once considered to be "prehypertensive" now require more than just lifestyle modification.

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