Northern Territory Heart Failure Initiative–Clinical Audit (NTHFI–CA)–a prospective database on the quality of care and outcomes for acute decompensated heart failure admission in the Northern Territory: study design and rationale

Heart failure (HF) is a leading cause of hospitalisation and healthcare costs worldwide. Acute decompensated heart failure accounts for more than 1 million hospitalisations in the US. Despite advances in the quality of acute and chronic HF disease management, gaps in knowledge about effective interventions to support the transition of care for patients with HF remain. Despite multiple trials of promising therapies, standard care consists of decongestion with IV diuretics and haemodynamic support with vasodilators and inotropes and this has remained largely unchanged during the past 45 years. Newer advances in medical innovations and structural heart disease interventions have now given promise to improved survival, outcomes and quality of life for patients with advanced HF of multiple aetiologies. In this article, we focus on structural interventions in the treatment of patients with HF.

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Iron deficiency is associated with impaired quality of life in non-anaemic patients hospitalized for acute decompensated heart failure

European Heart Journal ◽

10.1093/eurheartj/eht308.1728 ◽

2013 ◽

Vol 34 (suppl 1) ◽

pp. 1728-1728

Author(s):

F. Hammer ◽

S. Stauffenberg ◽

H. Faller ◽

G. Ertl ◽

S. Stoerk ◽

...

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Iron Deficiency ◽

Acute Decompensated Heart Failure ◽

Decompensated Heart Failure ◽

Impaired Quality

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Intra-cardiac microcomputer allows for innovative telemedicine in chronic heart failure during coronavirus disease-2019 pandemic: a case report

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytaa501 ◽

2020 ◽

Author(s):

Sebastian Feickert ◽

Giuseppe D’Ancona ◽

Monica Murero ◽

Hüseyin Ince

Keyword(s):

Heart Failure ◽

High Risk ◽

Chronic Heart Failure ◽

Acute Decompensated Heart Failure ◽

Decompensated Heart Failure ◽

Disease Spread ◽

Case Summary ◽

Infective Disease ◽

Risk Patients

Abstract Background Heart failure patient management guided by invasive intra-cardiac and pulmonary pressure measurements through permanent intra-cardiac micro-sensors has recently been published as a strategy to individualize the therapy of patients with chronic heart failure to reduce re-hospitalization and optimize quality of life. Furthermore, the use of telemedicine could have an important impact on infective disease spread during the current coronavirus disease-2019 pandemic. Case summary Emergent hospitalization of a patient with acute on chronic heart failure, who is currently in self-isolation as a result of his comorbid profile that exposes him to high risk for severe course and mortality in case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was prevented using a last generation telemedicine tool. Discussion Further implementation of invasive telemedicine could prevent hospitalization for acute decompensated heart failure and consecutive exposure to a potential hospital infection with SARS-CoV-2 in high-risk patients.

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