JACC. Heart failure
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JACC. Heart failure · Oct 2014
ReviewRisk prediction in patients with heart failure: a systematic review and analysis.
This study sought to review the literature for risk prediction models in patients with heart failure and to identify the most consistently reported independent predictors of risk across models. ⋯ There are several clinically useful and well-validated death prediction models in patients with heart failure. Although the studies differed in many respects, the models largely included a few common markers of risk.
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JACC. Heart failure · Aug 2014
Physician continuity improves outcomes for heart failure patients treated and released from the emergency department.
The goal of this study was to evaluate the effect of physician continuity for patients with heart failure (HF) treated and released from the emergency department (ED). ⋯ Early follow-up after an ED visit is associated with better outcomes, particularly if conducted with a familiar physician.
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JACC. Heart failure · Jun 2014
Randomized Controlled Trial Comparative StudyPrognostic benefit of optimum left ventricular lead position in cardiac resynchronization therapy: follow-up of the TARGET Study Cohort (Targeted Left Ventricular Lead Placement to guide Cardiac Resynchronization Therapy).
This study was conducted to assess the impact of left ventricular (LV) lead position on longer-term survival after cardiac resynchronization therapy (CRT). ⋯ An optimal LV lead position at the site of latest mechanical activation, avoiding low strain amplitude (scar), was associated with superior CRT response and improved survival that persisted during follow-up.
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JACC. Heart failure · Jun 2014
Randomized Controlled Trial Observational StudyBiomarkers of myocardial stress and fibrosis as predictors of mode of death in patients with chronic heart failure.
The aim of this study was to determine whether biomarkers of myocardial stress and fibrosis improve prediction of the mode of death in patients with chronic heart failure. ⋯ Clinical predictors along with NT-proBNP levels were strong predictors of pump failure risk, with insignificant incremental contributions of ST2 and galectin-3. Predictability of sudden cardiac death risk was less robust and enhanced by information provided by novel biomarkers.
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The goal of this study was to examine 2006 to 2010 emergency department (ED) admission rates, hospital procedures, lengths of stay, and costs for acute heart failure (AHF). ⋯ A very high proportion of ED patients with AHF are admitted nationally, with significant variation in disposition and procedural decisions based on region of the country and type of insurance, even after adjusting for potential confounding.