Origins of Quality Metrics
Fig. 32.1 Foundations of evidence based medicine (EBM) [2] EBM is the practice of using data from studies comparing the efficacy of multiple interventions or treatments to guide clinical practice….
Infections After Cardiac Transplantation
Infection Therapy duration Guidelines Pneumonia (Community-acquired) Minimum 5 days, afebrile 48–72 h, stable IDSA Guidelines [16] Pneumonia (Hospital-acquired, ventilator-associated, and healthcare-associated) 8 days (if responding); unless Pseudomonas aeruginosa (14–21 days)…
Management of the Patient with Heart Failure with Preserved Ejection Fraction
Fig. 7.1 Prevalence of HFPEF in four major epidemiologic cohorts [10–13] Pathophysiology The traditional classification of HFPEF as diastolic heart failure is based on the premise that a single pathophysiologic…
Acute Decompensated Heart Failure: Treatment – Specific Therapies
Fig. 11.1 Schematic diagram of the nephron demonstrating the site of action of diuretics [19] Loop Diuretics (LD) Pharmacokinetics/Pharmacology LDs are first line therapy in the treatment of patients with…
Stem Cell Therapy in Heart Failure
© Springer-Verlag London 2017Howard Eisen (ed.)Heart Failure10.1007/978-1-4471-4219-5_31 31. Stem Cell Therapy in Heart Failure Sachil Shah1 and Alan W. Heldman2 (1) Washington Hospital Center/Georgetown University Hospital, Department of Cardiology, 110 Irving Street, Washington, DC, 20010, USA (2)…
Patient Selection
Profile Description 1-year survival % Time frame for intervention Profile 1: Critical cardiogenic shock Life-threatening hypotension despite rapidly increasing inotropic support. Critical organ hypoperfusion confirmed by worsening acidosis or high…
Inhibition of the Renin-Angiotensin-Aldosterone System
Fig. 5.1 The Renin-Angiotensin-Aldosterone System. The major components of RAAS are shown in the above figure. As depicted, an increase in plasma renin levels initiates the cascade. Multiple organ systems…
Patient Selection for Cardiac Transplantation
© Springer-Verlag London 2017Howard Eisen (ed.)Heart Failure10.1007/978-1-4471-4219-5_20 20. Patient Selection for Cardiac Transplantation Michael L. Craig1 and Adrian B. Van Bakel1 (1) Division of Cardiology, Medical University of South Carolina, 114 Doughty Street, MSC 592, Charleston, SC 29425, USA …
Revascularization and Heart Failure
Risk factor Mortality associated Mortality without Reference Dyssynchrony by tissue Doppler ≥119 ms >105 ms with EuroSCORE >10 27 % 61 % 3 % 11 % Penicka et…
Atrial Arrhythmias and Heart Failure
© Springer-Verlag London 2017Howard Eisen (ed.)Heart Failure10.1007/978-1-4471-4219-5_14 14. Atrial Arrhythmias and Heart Failure S. Luke Kusmirek1 (1) Drexel Atrial Arrhythmia Center, Hahnemann University Hospital, Drexel University College of Medicine, Division of Cardiology, 245 North 15th Street,…
