title: New pharmacological and technological management strategies in heart failure.
abstract: Heart failure is a complex clinical syndrome resulting from impairment of ventricular filling or ejection of blood associated with symptoms of dyspnea, fatigue, as well as peripheral and/or pulmonary edema. This syndrome is progressive and characterized by worsening quality of life despite escalating levels of care, affecting 5.7 million Americans with an annual cost of over ≥30 billion US dollars. Treatment for this syndrome has evolved over three distinct eras: the nonpharmacological era, the pharmacological era, and the device era, with the focus shifting from symptomatic relief to decreasing morbidity and mortality. Over the past 10 years, the field has undergone a renaissance, with the development of new pharmacologic, hemodynamic monitoring, and device therapies proven to improve outcomes in patients with heart failure. This article will review several recent innovations in the management of patients with heart failure.
authors.affiliation: Division of Cardiology, St Vincent Indianapolis, Indianapolis, IN.
authors.forename: Sunit-Preet
authors.initials: SP
authors.lastname: Chaudhry
authors.affiliation: Division of Cardiovascular Medicine, Center for Advanced Heart Disease, Brigham and Women's Hospital, Boston, MA, USA.
authors.forename: Garrick C
authors.initials: GC
authors.lastname: Stewart
mesh_terms: D000818:Animals; D002316:Cardiotonic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D006333:Heart Failure / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D006353:Heart-Assist Devices / Q000009:adverse effects; D006439:Hemodynamics / Q000187:drug effects*; D006801:Humans; D011237:Predictive Value of Tests; D011474:Prosthesis Design; D020127:Recovery of Function; D013686:Telemetry / Q000295:instrumentation / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome; D016276:Ventricular Function / Q000187:drug effects*
chemical_list: D002316:Cardiotonic Agents
keywords: disease management; heart failure; heart-assist devices