Hospitalization for acute heart failure in elderly aged 80 and over: An undertreated but high-risk patient group

2013 ◽  
Vol 24 ◽  
pp. e27
Author(s):  
A. Jerez ◽  
J.C. Gomez ◽  
J.C. Milisenda ◽  
C. Cardozo ◽  
E. Coloma ◽  
...  
Keyword(s):  
Heart Failure ◽  
High Risk ◽  
Acute Heart Failure ◽  
Patient Group ◽  
High Risk Patient ◽  
Risk Patient ◽  
80 And Over ◽  
Aged 80 And Over

Acute heart failure: immediate management/stabilization

ESC CardioMed ◽  
2018 ◽  
pp. 1917-1921
Author(s):  
Francisco J. Martín-Sánchez ◽  
Òscar Miró ◽  
Héctor Bueno
Keyword(s):  
Heart Failure ◽  
High Risk ◽  
Acute Heart Failure ◽  
Medical Condition ◽  
High Risk Patient ◽  
Risk Patient ◽  
Circulatory Support ◽  
Haemodynamic Instability ◽  
Invasive Monitoring ◽  
Life Threatening

Acute heart failure (AHF) is a potentially life-threatening medical condition requiring emergency hospital evaluation. This chapter highlights aspects of early diagnosis, risk stratification, and treatment. The high-risk patient with AHF is characterized by the presence of severe respiratory failure and haemodynamic instability with or without systemic hypoperfusion, and the presence of potentially life-threatening AHF causes CHAMP (acute Coronary syndrome, Hypertensive emergency, Arrhythmias, acute Mechanical cause, and acute Pulmonary embolism). This high-risk patient is a potential candidate for respiratory and circulatory support, invasive monitoring with an arterial line, and the treatment of CHAMP. After ruling out a high-risk situation, AHF diagnosis must be confirmed with clinical evaluation and additional investigations, including 12-lead electrocardiography, chest X-ray, and laboratory assessment with natriuretic peptide levels. This non-high-risk patient requires non-invasive monitoring and early initiation of appropriate therapy guided by systolic blood pressure.

405 The Effect of a Patient Survey in the Evaluation of Obstructive Sleep Apnea in a High Risk Cardiology Outpatient Population

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A161-A161
Author(s):  
Dev Patel ◽  
Ishan Patel ◽  
Marc Cohen ◽  
Sunil Patel
Keyword(s):  
Heart Failure ◽  
Sleep Apnea ◽  
High Risk ◽  
Cardiac Arrhythmias ◽  
High Risk Patient ◽  
Patient Survey ◽  
Risk Patient ◽  
Patient Surveys ◽  
Obstructive Sleep ◽  
Artery Disease

Abstract Introduction Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder. The estimated prevalence is approximately 15 to 30 percent in males and 10 to 15 percent in females. Patients with OSA have an increased propensity for cardiovascular diseases and obesity. Observational studies have demonstrated a consistent association between OSA and hypertension, coronary artery disease, cardiac arrhythmias, and heart failure. The purpose of this study is to evaluate if a patient survey can improve the diagnosis of OSA in a high-risk outpatient cardiac clinic. Methods In an outpatient cardiac clinic, a retrospective analysis of OSA evaluations was done before and after the use of patient surveys in a high-risk population. The high-risk patient group was defined by the presence of two or more of the following conditions: hypertension, heart failure, cardiac arrhythmias, atrial fibrillation, obesity with a BMI of 30 or more, coronary artery disease, diabetes mellitus, chronic lung disease, history of cerebrovascular accident (CVA), hypothyroidism and chronic renal insufficiency. The patient survey included questions on the presence of daytime sleepiness, presence of snoring, ESS score, choking in sleep, witness apnea, and frequent waking in sleep. Results During the four months of patient survey use, a total of 143 patients were evaluated as compared to 86 patients in the prior four months without the use of the survey. A significant increase (66.3%) of OSA evaluations was observed during the patient survey period. Conclusion The use of patient surveys showed a significant improvement in OSA diagnoses in the defined high-risk patient group. Patient surveys might be beneficial to improve the under diagnosis of sleep apnea in high-risk patient populations. Additional research needs to be done to establish the impact of such intervention on patient outcomes. Support (if any):

The Slot Graft Technique for Foot and Ankle Arthrodesis in a High-Risk Patient Group

2011 ◽  
Vol 32 (7) ◽  
pp. 686-692 ◽  
Author(s):  
Sandra E. Klein ◽  
Ryan M. Putnam ◽  
Jeremy J. McCormick ◽  
Jeffrey E. Johnson
Keyword(s):  
High Risk ◽  
Patient Group ◽  
High Risk Patient ◽  
Ankle Arthrodesis ◽  
Risk Patient ◽  
Foot And Ankle

Suicides and parasuicides in a high-risk patient group on and off lithium long-term medication

1992 ◽  
Vol 25 (4) ◽  
pp. 261-269 ◽  
Author(s):  
B. Müller-Oerlinghausen ◽  
B. Müser-Causemann ◽  
J. Volk
Keyword(s):  
High Risk ◽  
Patient Group ◽  
High Risk Patient ◽  
Risk Patient

scholarly journals Heart failure management in high-risk patient groups

2015 ◽  
Vol 15 (Suppl 3) ◽  
pp. s19-s19
Author(s):  
Lucy Cornthwaite ◽  
Sarah Burgess
Keyword(s):  
Heart Failure ◽  
High Risk ◽  
High Risk Patient ◽  
Risk Patient ◽  
Heart Failure Management ◽  
Patient Groups
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