Display options
Share it on

Proc (Bayl Univ Med Cent). 2020 Jun 02;33(3):350-356. doi: 10.1080/08998280.2020.1765663. eCollection 2020 Jul.

Advanced heart failure with reduced ejection fraction.

Proceedings (Baylor University. Medical Center)

Albert Hicks, Jorge F Velazco, Salman Gohar, Ahmed Seliem, Shelley A Hall, Jeffrey B Michel

Affiliations

  1. Division of Cardiology, Baylor Scott and White Medical Center - TempleTempleTexas.
  2. Division of Pulmonary and Critical Care Medicine, Baylor Scott and White Medical Center - TempleTempleTexas.
  3. Baylor Scott & White Advanced Heart Failure Clinic, Baylor University Medical CenterDallasTexas.

PMID: 32675952 PMCID: PMC7340451 DOI: 10.1080/08998280.2020.1765663

Abstract

Patients suffering advanced heart failure with reduced ejection fraction (HFrEF) account for a large portion of patients admitted to hospitals worldwide. Mortality and 30-day readmission rates for HFrEF are now a focus of value-based payment models, making management of this disease a priority for hospitals, physicians, and payers alike. Angiotensin-converting enzyme inhibitors have been the cornerstone of therapy for decades. However, with treatment, the prognosis for patients with advanced HFrEF remains poor. Fortunately, advances in medical therapy and mechanical support offer some patients improvement in both survival and quality of life. We review advances in short- and long-term mechanical support and explore changes to organ allocation for cardiac transplantation. In addition, we provide a guide to facilitate appropriate referral to an advanced heart failure team.

Copyright © 2020 Baylor University Medical Center.

Keywords: Advanced heart failure; angiotensin receptor blocker; cardiac transplantation; extracorporeal membrane oxygenation; heart failure with reduced ejection fraction; left ventricular assist devices; neprilysin inhibition

References

  1. N Engl J Med. 1991 Aug 1;325(5):303-10 - PubMed
  2. N Engl J Med. 2017 Feb 2;376(5):451-460 - PubMed
  3. Eur J Heart Fail. 2017 May;19(5):595-602 - PubMed
  4. J Crit Care. 2018 Apr;44:31-38 - PubMed
  5. J Am Coll Cardiol. 2018 Jan 16;71(2):201-230 - PubMed
  6. Artif Organs. 1985 Nov;9(4):375-415 - PubMed
  7. Card Fail Rev. 2019 Feb;5(1):24-26 - PubMed
  8. Interact Cardiovasc Thorac Surg. 2019 Nov 1;29(5):670-677 - PubMed
  9. Ann Cardiothorac Surg. 2019 Jan;8(1):76-83 - PubMed
  10. J Thorac Dis. 2019 Apr;11(Suppl 6):S889-S901 - PubMed
  11. JACC Heart Fail. 2016 Oct;4(10):808-815 - PubMed
  12. N Engl J Med. 2017 Feb 2;376(5):440-450 - PubMed
  13. J Heart Lung Transplant. 1992 May-Jun;11(3 Pt 1):530-7 - PubMed
  14. Cochrane Database Syst Rev. 2015 Jan 22;1:CD010381 - PubMed
  15. JACC Heart Fail. 2018 Sep;6(9):792-802 - PubMed
  16. Curr Opin Crit Care. 2019 Aug;25(4):397-402 - PubMed
  17. N Engl J Med. 1991 Aug 1;325(5):293-302 - PubMed
  18. N Engl J Med. 1987 Jun 4;316(23):1429-35 - PubMed
  19. Circ Heart Fail. 2018 Sep;11(9):e005322 - PubMed
  20. Circulation. 2002 Aug 20;106(8):920-6 - PubMed
  21. N Engl J Med. 2019 Apr 25;380(17):1618-1627 - PubMed
  22. Eur Heart J Acute Cardiovasc Care. 2019 Jun;8(4):329-337 - PubMed
  23. Proc (Bayl Univ Med Cent). 2018 Oct 18;31(4):482-486 - PubMed
  24. Anaesth Crit Care Pain Med. 2018 Jun;37(3):259-268 - PubMed
  25. Crit Care Clin. 2017 Oct;33(4):777-794 - PubMed
  26. JAMA. 2005 Apr 20;293(15):1900-5 - PubMed
  27. Circulation. 2012 Jun 26;125(25):3191-200 - PubMed
  28. J Thorac Cardiovasc Surg. 2004 Jan;127(1):131-41 - PubMed
  29. Am J Surg. 1964 Nov;108:685-92 - PubMed
  30. J Thorac Dis. 2018 Jun;10(Suppl 15):S1811-S1818 - PubMed
  31. Ann Thorac Surg. 2001 Mar;71(3 Suppl):S156-61; discussion S183-4 - PubMed
  32. J Heart Lung Transplant. 2016 Oct;35(10):1158-1169 - PubMed
  33. Circ Heart Fail. 2018 Sep;11(9):e004905 - PubMed
  34. Curr Transplant Rep. 2017;4(3):218-225 - PubMed
  35. J Am Coll Cardiol. 2016 Sep 27;68(13):1476-1488 - PubMed
  36. J Am Coll Cardiol. 2019 Feb 19;73(6):698-716 - PubMed
  37. N Engl J Med. 2014 Sep 11;371(11):993-1004 - PubMed
  38. Eur J Heart Fail. 2017 Mar;19(3):404-412 - PubMed
  39. Trans Am Soc Artif Intern Organs. 1961;7:318-22 - PubMed
  40. Interact Cardiovasc Thorac Surg. 2019 Oct 1;29(4):632-634 - PubMed
  41. Am J Cardiol. 1963 Sep;12:399-405 - PubMed
  42. Circulation. 2018 Oct 30;138(18):1923-1934 - PubMed
  43. Am J Cardiol. 2017 Feb 1;119(3):440-444 - PubMed
  44. J Thorac Dis. 2019 Apr;11(4):1676-1683 - PubMed
  45. Neth Heart J. 2018 Feb;26(2):58-66 - PubMed
  46. J Clin Med. 2019 Apr 26;8(5): - PubMed
  47. J Thorac Dis. 2016 Jul;8(7):E495-502 - PubMed
  48. J Heart Lung Transplant. 2016 Apr;35(4):407-12 - PubMed
  49. J Heart Lung Transplant. 2019 Apr;38(4):339-343 - PubMed

Publication Types