How to define #PreHF stage⁉️

Dr #AntoniBayesGenis and BiykemBozkurt proposed 3 categories to define this grey
area:

1️⃣Structural Heart Abnormalities
-🫀structural/functional issue w/o ⬆️ NPs
- e.g: LVH, chambers enlargements, wall motion abnormalities

2️⃣Heart Stress
-⬆️ #Biomarkers …

🔥 Need to define “severe #HeartFailure ”
An amazing editorial by BiykemBozkurt

And high time to restage #HF

We definitely need stages for
📍 #WorseningHF
📍 #Palliation in #HF

And probably more stay tuned 🍀
JACC Journals
James Januzzi Jr MD Gregg Fonarow MD Javed Butler

bit.ly/3x9H5fJ

New in #jacchf
⭐️Role of Palliative Care Across HF

Improves
⬆️ Sx Control
⬆️ QOL
⬆️ Caregiver satisfaction
⬇️ Caregiver Anxiety.

🔑 Limited Palliative care workforce
✅ Novel Palliative Care models are needed to met needs to improve care of HF pts JACC Journals #JACCHF

🚨 All-Generic Quadruple Therapy for HF on the Horizon 🚨

This week, U.S. FDA approved first generics of #ARNI sacubitril/valsartan. Joins first approved generics of #SGLT2i in ‘22. Still short while before these generics can be marketed

One step closer…
fda.gov/news-events/pr…

Amazing presentation by Brett Sperry, MD detailing tafamidis long term data 1)Continued survival benefit in the longterm. 2) stabilized eGFR compared to placebo 3) reduced decline in health status and functional capacity in octogenarians 4) benefit in NYHA3

Excited to share the results of PREDICT HF, a multi-center study examining the prognostic role of advanced hemodynamic parameters in heart failure. In summary, the simultaneous assessment of CPO (power) and API (efficiency) nicely risk stratifies patients onlinelibrary.wiley.com/doi/full/10.10…

Amazing tshirts seen in #hearttransplant clinic

#FridayFeeling #CardioX

Can novel smartphone applications using accelerometer + gyroscope measurements be used to detect HF?

Insight into the high accuracy algorithms using motion sensors from smartphones to detect HF 📱

REFLECS study now in JACC Journals #JACCHF

📎 jacc.org/doi/10.1016/j.…

Mechanical Preload Reduction: When IV diuresis is simply inadequate for decongestion #preCARDIA #PrePella asaiojournal A-CURE Working Group Navin Kapur Dan Burkhoff MD PhD Kevin John John, MD MRCP Rayan Yousefzai Ryan J Tedford MD Babar Basir

journals.lww.com/asaiojournal/f…

#AF common with #HFpEF

Overlapping risk factors-obesity, HTN, aging, inflammation

⬆️ filling pressures, atrial remodeling from HFpEF ->AF
Dx allows therapy with ⬆️ outcomes

AF> 6 mins, needs OAC to ⬇️ CVA

👉 jacc.org/doi/10.1016/j.… JACC Journals #JACCHF
Yogesh Reddy et al

SCAI stage C CS & <30% increase in PP ➕
persistently ⬆️ lactate ~ 24 hrs of initiation of inotropes, ( ⬆️ 🏥 mortality noted)
🎯 Evaluate for escalation of support

jacc.org/doi/full/10.10…
JACC Journals #JACCHF Benjamin Hibbert
Mark Belkin Jon Grinstein MD & team

2 PM (EST) tomorrow, join nearly 500 of your international colleagues in learning from Jacob Moller and Navin Kapur #CSWG Shashank Sinha, MD, MSc, FACC, FAHA Jaime Hernandez-Montfort Jacob Abraham, MD A. Reshad Garan MD Ajar Kochar Sandeep Nathan, MD, MSc Jason N. Katz Benedikt Schrage
wellforce.zoom.us/webinar/regist…

Clinical outcomes in Cardiogenic Shock with Impella 5.0/5. 5 #CSWG Navin Kapur Justin Fried Maryjane Farr MD MSc, FACC FAST FHFSA FAHA Shashank Sinha, MD, MSc, FACC, FAHA Jaime Hernandez-Montfort Jacob Abraham, MD Nir Uriel, MD MSc Song Li Vanessa Blumer, MD, FACC Rachna Kataria, MD Sandeep Nathan, MD, MSc Elric Zweck Khue Ton jhltonline.org/article/S1053-…

Thank you Varinder Kaur Randhawa and Jason N. Katz for leading this collaboration!

'Extra-cardiac management of cardiogenic shock in the intensive care unit.'

JHLT Ran Lee, MD, FACC
Alastair Proudfoot
Carlos L. Alviar MD, FACC
Emily Zern Anjali Vaidya MD 🫀

sciencedirect.com/science/articl…

A privilege to share lessons from trials of remote hemodynamic monitoring, Providence Oregon workflows, and a glimpse of future technologies with the Advocate HF team

Thanks Nikhil Narang, MD for the invitation

cc: Gregory Macaluso