30-Day Readmission Rate for Patients Discharged With Congestive Heart Failure: Analysis of 2,352,612 Admissions

Kaur, Jasreen; Bath, Anandbir; Deepak, Vishal; Farishta, M.

doi:10.1016/j.chest.2019.08.428

Cited by 1 publication

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“…This huge disease burden has an equally enormous economic impact, which is expected to increase to $69.8 billion by 2030 [2]. It is also associated with high readmission rates, which further account towards increased burden on healthcare [3]. Although guideline-directed medical therapy is the mainstay of treatment in patients with chronic heart failure, acute exacerbations of the chronic disease can require complex interventions to help the patient deal with the intricate symptomatology.…”

Section: Introductionmentioning

confidence: 99%

Complex interventions in the failing heart

Bath¹,

Raja

Maturana

et al. 2021

Current Opinion in Organ Transplantation

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Purpose of review Heart failure is a complex clinical syndrome with a substantial disease burden. We aim to review the interventional aspects of management of advanced heart failure, focusing on the role of management of coronary artery disease, valvular heart disease, and mechanical circulatory support. Recent findings The patients with coronary artery disease and heart failure requiring revascularization are at higher risk than the rest of the general population. Coronary artery bypass grafting or percutaneous intervention can be used depending on varied patient characteristics and coronary anatomy. Transcatheter aortic valve implantation, Mitraclip and transcatheter ventricular restoration help in tackling the valvular and left ventricular remodeling concerns often seen in this patient population. Temporary hemodynamic circulatory support helps stabilizing patients in cardiogenic shock while long-term support can help bridge them to more definitive therapies. Summary The management strategies in this disease state are ever evolving with robust evidence coming in support of interventional therapies whenever deemed appropriate. It is the multidisciplinary patient-centered approach, which yields maximum benefit out of these complex interventions.

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Section: Introductionmentioning

confidence: 99%