Heart Failure

/Tag:Heart Failure

A CLOT FROM A SLOW BEATING HEART: COMPLETE HEART BLOCK AND STROKE DUE TO NONCOMPACTION CARDIOMYOPATHY

Case Presentation: A 45-year-old previously healthy male with a known history of polysubstance use (tobacco, ethanol, and cocaine) presented to the emergency department with sudden onset left-sided facial droop, hemiparesis, hemisensory loss, and dysarthria. The [...]

By | 2017-04-25T21:16:44+00:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CLOT FROM A SLOW BEATING HEART: COMPLETE HEART BLOCK AND STROKE DUE TO NONCOMPACTION CARDIOMYOPATHY

A QUADRICUSPID AORTIC VALVE CAUSING SEVERE AORTIC REGURGITATION WITH ASSOCIATED AORTIC ROOT DILATATION

Case Presentation: A 49-year-old male presented with progressive lower extremity edema, exertional dyspnea and orthopnea for three weeks. Past medical history significant for non-ischemic cardiomyopathy, systolic heart failure and moderate aortic regurgitation (AR) diagnosed one [...]

By | 2019-03-11T14:33:24+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A QUADRICUSPID AORTIC VALVE CAUSING SEVERE AORTIC REGURGITATION WITH ASSOCIATED AORTIC ROOT DILATATION

ACCURACY OF LUNG ULTRASOUND VERSUS CHEST X-RAY IN THE DIAGNOSIS OF PULMONARY EDEMA: A SYSTEMATIC REVIEW

Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies. Some studies have found its accuracy in diagnosing pulmonary edema surpasses that of chest x-ray (CXR) but the available evidence [...]

By | 2018-03-19T12:59:20+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on ACCURACY OF LUNG ULTRASOUND VERSUS CHEST X-RAY IN THE DIAGNOSIS OF PULMONARY EDEMA: A SYSTEMATIC REVIEW

CARDIAC AWAKING

Case Presentation: A 66 year old female with a history of RA, diabetes mellitus, and deep vein thrombosis, presented to ED with tachycardia and hypoxic respiratory failure requiring 5 liters of oxygen. Physical exam was notable [...]

By | 2019-03-11T14:30:45+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on CARDIAC AWAKING

CARDIAC RESYNCHRONIZATION THERAPY BY HIS BUNDLE PACING IN A PATIENT WITH CONGESTIVE HEART FAILURE AND LEFT BUNDLE BRANCH BLOCK: AN INSIGHT FOR THE INTERNIST

Case Presentation: A 65 year old male with ischemic cardiomyopathy, EF of 25% and NYHA III symptoms despite optimal medical therapy, severe mitral regurgitation (MR) and left bundle branch block (LBBB) with QRS>150ms (figure 1) [...]

By | 2019-03-11T14:34:47+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on CARDIAC RESYNCHRONIZATION THERAPY BY HIS BUNDLE PACING IN A PATIENT WITH CONGESTIVE HEART FAILURE AND LEFT BUNDLE BRANCH BLOCK: AN INSIGHT FOR THE INTERNIST

EPXHEARTFAILURE PROVIDES REMOTE MONITORING OF SYMPTOMS IN HEART FAILURE PATIENTS: A TELEMEDICINE TOOL

Background: Heart failure (HF) is a major public health concern that affects over 5 million adults in the US. HF is among the most common reasons for hospital admissions and presents a considerable cost burden [...]

By | 2018-03-19T13:00:08+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on EPXHEARTFAILURE PROVIDES REMOTE MONITORING OF SYMPTOMS IN HEART FAILURE PATIENTS: A TELEMEDICINE TOOL

FLASH PULMONARY EDEMA WITH LEFT VENTRICLE NON-COMPACTION CARDIOMYOPATHY

Case Presentation: A 87 year old female with history of Left ventricular non-compaction(LVNC), HFrEF with EF25-30%, CAD, hypertension, hyperlipidemia presented with acute dyspnea. She denied chest pain, palpitation, lightheadedness. Exam revealed tachycardia, tachypnea and hypoxia, [...]

By | 2019-03-11T14:38:25+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on FLASH PULMONARY EDEMA WITH LEFT VENTRICLE NON-COMPACTION CARDIOMYOPATHY

HEART FAILURE WITH A LARGE RETROPERITONEAL MASS: CONNECTED OR COINCIDENCE?

Case Presentation: A 40 year-old male with no significant past medical history presented with two months of increasing fatigue, anorexia, and progressive exertional dyspnea. Additionally, he reported a mild increase in abdominal girth during the [...]

By | 2018-03-19T13:18:34+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on HEART FAILURE WITH A LARGE RETROPERITONEAL MASS: CONNECTED OR COINCIDENCE?

HYPERLIPIDEMIA PARADOX: HYPERLIPIDEMIA LOWERS THE RISK OF DEATH AND ATTENUATES THE MORTALITY RISK OF OTHER COMORBID CONDITIONS AFTER HOSPITALIZATION FOR ACUTE MYOCARDIAL INFARCTION, HEART FAILURE, AND PNEUMONIA

Background: Hyperlipidemia is a recognized risk factor for incident acute myocardial infarction (AMI) and acute decompensated heart failure (ADHF), and no such documented association with pneumonia. However, the influence of hyperlipidemia on long-term mortality after [...]

By | 2018-03-19T12:59:38+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on HYPERLIPIDEMIA PARADOX: HYPERLIPIDEMIA LOWERS THE RISK OF DEATH AND ATTENUATES THE MORTALITY RISK OF OTHER COMORBID CONDITIONS AFTER HOSPITALIZATION FOR ACUTE MYOCARDIAL INFARCTION, HEART FAILURE, AND PNEUMONIA

IMPACT OF CARDIOLOGIST CONSULTATION ON READMISSIONS FOR GENERAL MEDICINE PATIENTS WITH SECONDARY DIAGNOSIS OF HEART FAILURE

Background: Involvement of a cardiologist in the care of hospitalized patients with a primary diagnosis of heart failure (HF) has been shown to improve outcomes and may affect their readmission rates. However, less is known [...]

By | 2019-03-11T14:19:23+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IMPACT OF CARDIOLOGIST CONSULTATION ON READMISSIONS FOR GENERAL MEDICINE PATIENTS WITH SECONDARY DIAGNOSIS OF HEART FAILURE

Improving Adherence to Discharge Medications for Hospitalized Heart Failure Patients

Background: Heart failure is a deadly epidemic with over 37 million people affected worldwide with a multitude of physical, psychological and financial implications on patients and the healthcare system. The progression of heart failure can [...]

By | 2018-03-19T13:14:24+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on Improving Adherence to Discharge Medications for Hospitalized Heart Failure Patients

Increasing Use of Home Health Care Services Among Patients Admitted with Heart Failure in the United States

Background: Despite recent advancements in the medical management of acute and chronic Heart Failure (HF), smooth transitions of care for patients hospitalized with HF remain elusive for most health care systems. Use of home health [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Increasing Use of Home Health Care Services Among Patients Admitted with Heart Failure in the United States

Investigation Into One-Size-Fits-All Diuretic Strategy for Heart Failure Exacerbation Admissions

Background: Diuretic therapy is the mainstay of treatment for heart failure exacerbations but its optimal dosing strategy remains unclear. In 2011, the DOSE trial exhibited a trend toward improvement in patients’ global symptom assessments when [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Investigation Into One-Size-Fits-All Diuretic Strategy for Heart Failure Exacerbation Admissions