Clinical Management of Patients with Heart Failure

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiovascular Medicine".

Deadline for manuscript submissions: 24 November 2024 | Viewed by 378

Special Issue Editors


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Guest Editor
1. Department VII, Internal Medicine II, Discipline of Cardiology, University of Medicine and Pharmacy “Victor Babes” Timisoara, Timișoara, Romania
2. Department of Cardiology, County Emergency Hospital “Pius Brinzeu” Timisoara, Timișoara, Romania
Interests: heart failure; systemic hypertension; acute and chronic coronary syndrome; arrhythmias; management of patients with cardiovascular diseases; cardiovascular risk factors
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
1. Internal Medicine Department, University of Medicine and Pharmacy , "Grigore T. Popa”, Iasi, Romania
2. Cardiology Department, Cardiovascular Diseases Institute "Prof. Dr. George I. M. Georgescu", Iași, Romania
Interests: heart failure; systemic hypertension; acute and chronic coronary syndrome; arrhythmias; management of patients with cardiovascular diseases; cardiovascular risk factors
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Heart failure is among the leading causes for increased morbidity and mortality worldwide, also leading to increased costs for healthcare systems. It evolves with repeated episodes of decompensation, representing one of the most frequent reasons for hospitalization at cardiology or internal medicine units, but also aggravating the course of other pathologies. Even in its more stable form, chronic heart failure may affect patients' wellbeing and quality of life, impacting their level of activity and reducing their possibility of self-care, as well as generating socio-economic consequences for the diseased persons and their families. The onset of heart failure is frequently subtle and unexpected, and this pathology can progress slowly, remaining unnoticed for several years. When patients seek specialized medical advice, it is often too late to obtain optimal results because several complications and associated co-morbidities are already present, and the most appropriate recommended management must be adapted to their clinical conditions.

Over the last decade, along with the progress in fundamental sciences and pharmacotherapy, and the prodigious efforts of the cardiology societies and healthcare systems worldwide, new therapeutic methods have been developed and the availability of specialized medical care for the general population has increased, leading to a better management of patients with heart failure and an increased life-expectancy of these subjects. Although a variety of new treatment options are available, starting with innovative drugs and continuing with invasive procedures, along with lifestyle change measures, selecting the most appropriate management strategy for heart failure is difficult, raising challenges for medical personnel and healthcare systems, while often leading to suboptimal results for the patient.

This Special Issue focuses on original articles, reviews, meta-analysis referring to groundbreaking research regarding the clinical management of heart failure.

Dr. Cristina Tudoran
Dr. Larisa Anghel
Guest Editors

Manuscript Submission Information

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Keywords

  • acute heart failure
  • chronic heart failure
  • treatment options
  • management of heart failure
  • lifestyle changes
  • diagnosis of heart failure

Published Papers (1 paper)

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Review

19 pages, 689 KiB  
Review
A Comparative Analysis of Apical Rocking and Septal Flash: Two Views of the Same Systole?
by Alexandra-Iulia Lazăr-Höcher, Dragoș Cozma, Liviu Cirin, Andreea Cozgarea, Adelina-Andreea Faur-Grigori, Rafael Catană, Dănuț George Tudose, Georgică Târtea, Simina Crișan, Dan Gaiță, Constantin-Tudor Luca and Cristina Văcărescu
J. Clin. Med. 2024, 13(11), 3109; https://doi.org/10.3390/jcm13113109 - 25 May 2024
Viewed by 190
Abstract
Heart failure (HF) is a complex medical condition characterized by both electrical and mechanical dyssynchrony. Both dyssynchrony mechanisms are intricately linked together, but the current guidelines for cardiac resynchronization therapy (CRT) rely only on the electrical dyssynchrony criteria, such as the QRS complex [...] Read more.
Heart failure (HF) is a complex medical condition characterized by both electrical and mechanical dyssynchrony. Both dyssynchrony mechanisms are intricately linked together, but the current guidelines for cardiac resynchronization therapy (CRT) rely only on the electrical dyssynchrony criteria, such as the QRS complex duration. This possible inconsistency may result in undertreating eligible individuals who could benefit from CRT due to their mechanical dyssynchrony, even if they fail to fulfill the electrical criteria. The main objective of this literature review is to provide a comprehensive analysis of the practical value of echocardiography for the assessment of left ventricular (LV) dyssynchrony using parameters such as septal flash and apical rocking, which have proven their relevance in patient selection for CRT. The secondary objectives aim to offer an overview of the relationship between septal flash and apical rocking, to emphasize the primary drawbacks and benefits of using echocardiography for evaluation of septal flash and apical rocking, and to offer insights into potential clinical applications and future research directions in this area. Conclusion: there is an opportunity to render resynchronization therapy more effective for every individual; septal flash and apical rocking could be a very useful and straightforward echocardiography resource. Full article
(This article belongs to the Special Issue Clinical Management of Patients with Heart Failure)
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