Guideline Management of Chronic Heart Failure 2013 ACC/AHA Guideline Mgmt HF 2016 ACC PDF
Preview Guideline Management of Chronic Heart Failure 2013 ACC/AHA Guideline Mgmt HF 2016 ACC
Guideline Management of Chronic Heart Failure 2013 ACC/AHA Guideline Mgmt HF 2016 ACC/AHA/HFSA Focused Update 2017 ACCAHA/HFSA Focused Update October 17th, 2017 Dawn Lombardo DO, MSc Professor of Medicine/Clinical HS University of California, Irvine Medical Center Division of Cardiology/DOM Medical Director|Advanced Heart Failure Program Program Director|Cardiovascular Fellowship Program Disclosures ➢ None Department Of Medicine, Division of Cardiology| 2 October 17, 2017 Learning Objectives: 1. Describe the evaluation of patients presenting with stable heart failure 2. Use recent guidelines to select appropriate medical therapies for patients with stable heart failure with reduced EF 3. Develop appropriate management strategies for the patient with stable heart failure with preserved EF Department Of Medicine, Division of Cardiology| 3 October 17, 2017 Key References 1. 2013 ACCF / AHA Heart Failure Guidelines http://content.onlinejacc.org/article.aspx?doi=10.1016/j.jacc.2013.05.019 2. 2016 ACCF/ AHA heart Failure Guidelines Update http://circ.ahajournals.org/content/circulationaha/early/2016/05/18/CIR.00000 00000000435.full.pdf 1. 2010 HFSA Guidelines Department Of Medicine, Division of Cardiology| 4 October 107 2017 Definition of Heart Failure HFSA 2010 Practice Guideline • Syndrome caused by cardiac dysfunction – Neurohormonal & circulatory abnormalities – Characteristic symptoms: • Fluid retention • Shortness of breath • Fatigue, especially on exertion – Physiologic description: • Elevated cardiac filling pressures • OR • Inadequate peripheral oxygen delivery at rest or during stress caused by cardiac dysfunction Department Of Medicine, Division of Cardiology| 5 October 17, 2017 Definition of Heart Failure HFSA 2010 Practice Guideline • HF is progressive and often fatal ****Patients can be stabilized! **** • Myocardial dysfunction and remodeling may improve – Spontaneously – Consequence of therapy Department Of Medicine, Division of Cardiology| 6 October 17, 2017 Definition of Heart Failure ACC/AHA 2013 Guidelines Department Of Medicine, Division of Cardiology| 7 October 17, 2017 Heart Failure in the US A Growing Problem ➢ 6.6 million Americans with HF • projected ~ 8 million by 2030 ➢ 870,000 new HF diagnoses annually ➢ 300,000-800,000 Americans with advanced HF ➢ 1 million hospitalizations /year ➢ Deaths > 300,000 HF/year • mortality remain ~ 50% at 5 years. ➢ $32 billion/year expected to rise to $70 billion by 2030 • 80% due to hospitalizations. Burden of Heart Failure Stages of Heart Failure Department Of Medicine, Division of Cardiology| 10 October 17, 2017
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