scholarly journals Time Interval from Symptom Onset to Hospital Care in Patients with Acute Heart Failure: A Report from the Tokyo Cardiac Care Unit Network Emergency Medical Service Database

PLoS ONE ◽  
2015 ◽  
Vol 10 (11) ◽  
pp. e0142017 ◽  
Author(s):  
Yasuyuki Shiraishi ◽  
Shun Kohsaka ◽  
Kazumasa Harada ◽  
Tetsuro Sakai ◽  
Atsutoshi Takagi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Emergency Medical Service ◽  
Acute Heart Failure ◽  
Symptom Onset ◽  
Hospital Care ◽  
Medical Service ◽  
Cardiac Care ◽  
Time Interval ◽  
Unit Network ◽  
Cardiac Care Unit

Survival in acute heart failure in intensive cardiac care unit: a prospective study

2021 ◽  
Author(s):  
Carlotta Sciaccaluga ◽  
Giulia Elena Mandoli ◽  
Chiara Nannelli ◽  
Francesca Falciani ◽  
Cosimo Rizzo ◽  
...  
Keyword(s):  
Heart Failure ◽  
Prospective Study ◽  
Acute Heart Failure ◽  
Cardiac Care ◽  
A Prospective Study ◽  
Cardiac Care Unit

Etiology of Acute Heart Failure From 1980 to 2004 in Cardiac Care Unit of Nippon Medical School

2005 ◽  
Vol 11 (9) ◽  
pp. S308
Author(s):  
Naoki Sato ◽  
Takeshi Yamamoto ◽  
Nobuhiko Fujita ◽  
Yu-Ki Iwasaki ◽  
Kenji Yodogawa ◽  
...  
Keyword(s):  
Heart Failure ◽  
Medical School ◽  
Acute Heart Failure ◽  
Nippon Medical School ◽  
Cardiac Care ◽  
Cardiac Care Unit

scholarly journals The Emergency Department Arrival Mode and Its Relations to ED Management and 30-Day Mortality in Acute Heart Failure: An Ancillary Analysis From The EURODEM Study

2021 ◽  
Author(s):  
Pia Harjola ◽  
Tuukka TARVASMÄKI ◽  
Cinzia BARLETTA ◽  
Richard BODY ◽  
Jean CAPSEC ◽  
...  
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Emergency Medical Services ◽  
Emergency Medical Service ◽  
Acute Heart Failure ◽  
Medical Service ◽  
Ventilatory Support ◽  
Medical Services ◽  
Heart Failure Patients ◽  
Emergency Medical

Abstract Background: Acute heart failure patients are often encountered in emergency departments from 11% to 57 % using emergency medical services. Our aim was to evaluate the association of emergency department arrival mode with acute heart failure patients’ emergency department management and short-term outcomes. Methods: This was a sub-analysis of the European EURODEM study. Data on patients presenting with dyspnoea were collected prospectively from 66 European emergency departments. Patients with emergency department diagnosis of acute heart failure were categorized into two groups: those using emergency medical services and those self-presenting (non- emergency medical service patients). The independent association between emergency medical services use and 30-day mortality was evaluated with logistic regression. Results: Of the 500 acute heart failure patients, 309 (61.8 %) arrived at emergency department by emergency medical services. They were older (median age 80 vs. 75 years, p<0.001) and had more dementia (18.7 % vs. 7.2 %, p<0.001). On admission, emergency medical service patients had more often confusion (43 (14.2 %) vs. 4 (2.1 %), p<0.001) and higher respiratory rate (24/min vs. 21/min, p=0.014; respiratory rate > 30/min in 17.1 % patients vs. 7.5 %, p=0.005). The only difference in emergency department management appeared in the use of ventilatory support: 78.3 % of emergency medical services patients vs. 67.5% of non- emergency medical services patients received oxygen, p=0.007, non-invasive ventilation was administered to 12.5 % of emergency medical service patients vs. 4.2% non- emergency medical service patients, p=0.002. Emergency medical service patients were more often hospitalized (82.4 % vs. 65.9 %, p<0.001). The use of emergency medical services was an independent predictor of 30-day mortality (OR=2.96, 95% CI 1.27-6.92, p=0.012)Conclusion: Most acute heart failure patients arrive at emergency department by emergency medical services. These patients suffer from more severe respiratory distress and receive more often ventilatory support. Emergency medical service use is an independent predictor of 30-day mortality.

scholarly journals Levosimendan use in patients with acute heart failure and reduced ejection fraction with or without severe renal dysfunction in critical cardiac care units: a multi-institution database study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Cze-Ci Chan ◽  
Kuang-Tso Lee ◽  
Wan-Jing Ho ◽  
Yi-Hsin Chan ◽  
Pao-Hsien Chu
Keyword(s):  
Heart Failure ◽  
Renal Function ◽  
Ejection Fraction ◽  
Acute Heart Failure ◽  
Cardiac Care ◽  
Chang Gung Memorial Hospital ◽  
Research Database ◽  
Cohort Entry ◽  
Reduced Ejection Fraction ◽  
Abnormal Renal Function

Abstract Background Acute heart failure is a life-threatening clinical condition. Levosimendan is an effective inotropic agent used to maintain cardiac output, but its usage is limited by the lack of evidence in patients with severely abnormal renal function. Therefore, we analyzed data of patients with acute heart failure with and without abnormal renal function to examine the effects of levosimendan. Methods We performed this retrospective cohort study using data from the Chang Gung Research Database (CGRD) of Chang Gung Memorial Hospital (CGMH). Patients admitted for heart failure with LVEF ≤ 40% between January 2013 and December 2018 who received levosimendan or dobutamine in the critical cardiac care units (CCU) were identified. Patients with extracorporeal membrane oxygenation (ECMO) were excluded. Outcomes of interest were mortality at 30, 90, and 180 days after the cohort entry date. Results There were no significant differences in mortality rate at 30, 90, and 180 days after the cohort entry date between the levosimendan and dobutamine groups, or between subgroups of patients with an estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73 m2 and eGFR < 30 mL/min/1.73 m2 or on dialysis. The results were consistent before and after propensity score matching. Conclusions Levosimendan did not increase short- or long-term mortality rates in critical patients with acute heart failure and reduced ejection fraction compared to dobutamine, regardless of their renal function. An eGFR less than 30 mL/min/1.73 m2 was not necessarily considered a contraindication for levosimendan in these patients.

scholarly journals EVALUATION OF MEDICATION COMPLIANCE IN PATIENTS WITH CONGESTIVE HEART FAILURE IN YEMEN

2019 ◽  
pp. 93-97
Author(s):  
AL-ZAAZAAI ET AL ALI AHMED MOHAMMED AL-Z ◽  
MANSOUR A. AL-AMRANI ◽  
KHALID ALAKHALI ◽  
NOURADDEN ALJABER
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Medication Compliance ◽  
Smoking Status ◽  
Cardiac Care ◽  
Tree Leaves ◽  
The Status ◽  
Friendship Hospital ◽  
Care Costs ◽  
Cardiac Care Unit

Objective: Non-compliance with heart failure medication is related to the highest mortality, morbidity, and health-care costs. The objective of this study was to evaluate medication compliance with patients with congestive heart failure. Methods:Inpatients of the cardiac care unit and medical ward of Republican Hospital, German Hospital, Revolutionary Hospital, and Chinese–Yemeni Friendship Hospital were recruited for this study. The study was conducted on patients that were diagnosed as having congestive heart failure and were receiving treatment. Questionnaires were distributed and personal interviews to evaluate the patients’ compliance was conducted to determine the reasons for their non-compliance in taking drugs. Results: Of 86 patients, 44% (n = 38) reported compliance and 56% (n = 48) reported non-compliance. The distribution of the patients in terms of sex was as follows: among men, 41% (n = 24) were compliant and 59% (n = 35) were non-compliant; among women, 52% (n = 14) were compliant and 48% (n = 13) were non-compliant. In addition, smoking status was too significantly linked with non-compliance (P = 0.001). Furthermore, the status of chewing of khat tree leaves was also significantly associated with non-compliance (P = 0.007). Conclusion: This study indicates that the reasons for non-compliance with medications among patients can be attributed to lack of education, chewing of khat tree leaves, lack of health insurance, and cigarette smoking. Therefore, healthcare professionals should create strategies to address these reasons in order to increase medication compliance with patients in heart failure.

P174 Poster Heart failure (HF) in the intensive cardiac care unit (ICCU): predictors of the length of stay (LOS) and mortality

2011 ◽  
Vol 10 (1_suppl) ◽  
pp. 32-32
Author(s):  
L. Brugnaro ◽  
N. Frizzarin ◽  
C. Marangon ◽  
M. Perazzolo ◽  
G. Boscaro ◽  
...  
Keyword(s):  
Heart Failure ◽  
Length Of Stay ◽  
Cardiac Care ◽  
Cardiac Care Unit
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