International journal of heart failure最新文献

Reviving the Failing Heart: Contractile Reserve and Remodeling Reversal. 复苏衰竭的心脏：收缩储备和重塑逆转。

International journal of heart failure Pub Date : 2025-07-30 eCollection Date: 2025-07-01 DOI: 10.36628/ijhf.2025.0056

Hyemoon Chung

引用次数: 0

Prognostic Impact of LVEF Recovery in Young Adults With Acute Heart Failure. 急性心力衰竭青年患者LVEF恢复对预后的影响。

International journal of heart failure Pub Date : 2025-07-29 eCollection Date: 2025-07-01 DOI: 10.36628/ijhf.2025.0054

SungA Bae

引用次数: 0

Establishing a National Quality of Care Framework for Heart Failure in Korea: Keep Standards for Heart Failure (KSHF) Initiative. 在韩国建立心力衰竭国家护理质量框架：保持心力衰竭标准（KSHF）倡议。

International journal of heart failure Pub Date : 2025-07-29 eCollection Date: 2025-07-01 DOI: 10.36628/ijhf.2025.0037

Mi-Hyang Jung, Soo Yong Lee, Yang Hyun Cho, Dae-Hwan Bae, Sunki Lee, Chan Joo Lee, Jung-Woo Son, Jae Yeong Cho, Eung Ju Kim

{"title":"Establishing a National Quality of Care Framework for Heart Failure in Korea: Keep Standards for Heart Failure (KSHF) Initiative.","authors":"Mi-Hyang Jung, Soo Yong Lee, Yang Hyun Cho, Dae-Hwan Bae, Sunki Lee, Chan Joo Lee, Jung-Woo Son, Jae Yeong Cho, Eung Ju Kim","doi":"10.36628/ijhf.2025.0037","DOIUrl":"10.36628/ijhf.2025.0037","url":null,"abstract":"Heart failure (HF) continues to pose a significant public health burden in Korea, marked by increasing prevalence, hospitalizations, and healthcare costs. Although advances in guideline-directed medical therapy (GDMT) have improved patient prognosis, a persistent gap between evidence-based guidelines and real-world practice hinders optimal patient outcomes. To address this challenge, the Korean Society of Heart Failure launched the Keep Standards for Heart Failure (KSHF) initiative to enhance the quality of care (QoC) for individuals with HF. This initiative combines registry-based and non-registry approaches, including the development of structured educational programs, a standardized discharge checklist, and the implementation of the KSHF-QoC registry. The registry is designed to systematically evaluate HF management across diverse healthcare settings by analyzing prescription trends, treatment adherence, and patient-centered outcomes. Unlike earlier registries that focused primarily on acute HF in tertiary care centers managed by HF specialists, the KSHF-QoC registry broadens its scope to include general cardiologists, thereby offering a more comprehensive and representative assessment of routine care. Through continuous monitoring of QoC indicators, benchmarking across institutions, and structured performance feedback, the KSHF initiative aims to improve GDMT adherence, optimize HF care delivery, and reduce readmission rates. These efforts represent a critical advancement toward standardizing HF management and improving long-term outcomes for patients in Korea.","PeriodicalId":101410,"journal":{"name":"International journal of heart failure","volume":"7 3","pages":"139-151"},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging the Diagnostic Gap: Toward Non-Invasive Detection of Transthyretin Cardiac Amyloidosis in Acute Heart Failure. 弥合诊断差距：对急性心力衰竭经甲状腺蛋白心脏淀粉样变性的无创检测。

International journal of heart failure Pub Date : 2025-07-29 eCollection Date: 2025-07-01 DOI: 10.36628/ijhf.2025.0055

Moon-Seung Soh

引用次数: 0

Prognostic Implications of Left-Ventricular Function Changes in Young Acute Heart Failure Patients. 年轻急性心力衰竭患者左心室功能改变的预后意义。

International journal of heart failure Pub Date : 2025-07-22 eCollection Date: 2025-07-01 DOI: 10.36628/ijhf.2025.0024

Hyun-Jin Kim, Hack-Lyoung Kim, Myung-A Kim

{"title":"Prognostic Implications of Left-Ventricular Function Changes in Young Acute Heart Failure Patients.","authors":"Hyun-Jin Kim, Hack-Lyoung Kim, Myung-A Kim","doi":"10.36628/ijhf.2025.0024","DOIUrl":"10.36628/ijhf.2025.0024","url":null,"abstract":"Background and objectives: Heart failure (HF) in younger patients, who are typically active, can significantly affect their quality of life. We assessed the clinical features and prognosis of younger patients with acute HF according to changes in their left ventricular function.Methods: This multi-center cohort study was conducted from March 2011 to February 2014 across 10 representative university hospitals. Adult aged <50 years at the time of admission for acute HF were included. Patients were classified into 2 groups according to changes in echocardiographic left ventricular ejection fraction (LVEF) at 1-year follow-up (improved LVEF group vs. non-improved LVEF group). The primary outcome was the incidence of all-cause mortality during the follow-up period.Results: Among the 437 patients, 14.6% experienced worsening LVEF at the 1-year follow-up. Fifty-six (12.8%) patients died during the follow-up. The non-improved LVEF group had a higher incidence of all-cause mortality than the improved LVEF groups (32.8% vs. 9.4%, p<0.001). Clinical outcomes, including all-cause death, cardiac death, and HF readmission were significantly worse in the non-improved LVEF group. Multivariate logistic regression analysis identified angiotensin converting enzyme inhibitor use at discharge as an independent predictor of reduced risk of non-improved LVEF (odds ratio, 0.37; 95% confidence interval, 0.171-0.786).Conclusions: Worsening LVEF was associated with poor clinical prognosis in younger patients hospitalized for acute HF. Clinicians should be aware of the characteristics of younger patients with acute HF and monitoring and treating changes in LVEF in younger patients with acute HF is crucial for improving clinical outcomes.","PeriodicalId":101410,"journal":{"name":"International journal of heart failure","volume":"7 3","pages":"162-172"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

T-Amylo Score for the Diagnosis of Transthyretin Cardiac Amyloidosis in Patients With Acute Heart Failure. T-Amylo评分对急性心力衰竭患者转甲状腺素型心脏淀粉样变性的诊断价值。

International journal of heart failure Pub Date : 2025-07-22 eCollection Date: 2025-07-01 DOI: 10.36628/ijhf.2025.0018

Lucrecia Maria Burgos, Ana Spaccavento, Franco Nicolás Ballari, Ivana Maria Seia, María Del Rosario Rodríguez, Rocío Consuelo Baro Vila, Pablo Elissamburu, Alejandro Horacio Meretta, Mirta Diez, Juan Pablo Costabel

{"title":"T-Amylo Score for the Diagnosis of Transthyretin Cardiac Amyloidosis in Patients With Acute Heart Failure.","authors":"Lucrecia Maria Burgos, Ana Spaccavento, Franco Nicolás Ballari, Ivana Maria Seia, María Del Rosario Rodríguez, Rocío Consuelo Baro Vila, Pablo Elissamburu, Alejandro Horacio Meretta, Mirta Diez, Juan Pablo Costabel","doi":"10.36628/ijhf.2025.0018","DOIUrl":"10.36628/ijhf.2025.0018","url":null,"abstract":"Background and objectives: Cardiac amyloidosis due to transthyretin (ATTR-CA) is often an unrecognized cause of heart failure. Recently validated, the T-Amylo model estimates the risk of ATTR-CA. Its utility in hospitalized patients with acute heart failure (AHF), however, remains unevaluated.Methods: A unicentric prospective study was conducted, included consecutive patients over 60 years admitted with a primary diagnosis of AHF between 2022-2024. Final diagnosis of ATTR-CA was established based on clinical and complementary results. The T-Amylo model was calculated blindly.Results: A total of 138 patients were included, 63% of whom were men, with a mean age of 80 (standard deviation, 6.9). The diagnosis of ATTR-CA was established in 15.9% of patients. The T-Amylo predictive model showed an area under the curve of 0.93 (95% confidence interval, 0.87-0.98). 26.8% of patients were classified as low risk, with a 0% diagnosis of ATTR-CA, showing a sensitivity of 100% and specificity of 32%; 10.2% were identified as high risk, with ATTR-CA diagnosed in 78.6%, showing a sensitivity of 50% and specificity of 97.4%.Conclusions: In AHF patients, the T-Amylo score adequately identified low- and high-risk patients for ATTR-CA. Based on readily available parameters, this model is a useful tool for detecting ATTR-CA.","PeriodicalId":101410,"journal":{"name":"International journal of heart failure","volume":"7 3","pages":"176-183"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Does Heart Failure Fellowship Training Influence Future Clinical Practice? An Asia-Pacific Survey. 心力衰竭研究员培训如何影响未来的临床实践？亚太地区调查。

International journal of heart failure Pub Date : 2025-07-21 eCollection Date: 2025-07-01 DOI: 10.36628/ijhf.2025.0041

Raja Ezman Raja Shariff, Vebiona Kartini Prima Putri, Gary Gan, Julian Kenrick Loh, Derek Pok Him Lee, Novi Yanti Sari, Lauren Kay M Evangelista, Rochelle Regina Cruz, Jonathan Yap

引用次数: 0

Dobutamine Stress Echocardiography for Left Ventricular Reverse Remodeling in Idiopathic Dilated Cardiomyopathy. 多巴酚丁胺应激超声心动图对特发性扩张型心肌病左心室反向重构的影响。

International journal of heart failure Pub Date : 2025-07-07 eCollection Date: 2025-07-01 DOI: 10.36628/ijhf.2024.0071

Hyun-Min Choi, Jung-Woo Son, Se-Eun Kim, Jang Young Kim, Byung Su Yoo

{"title":"Dobutamine Stress Echocardiography for Left Ventricular Reverse Remodeling in Idiopathic Dilated Cardiomyopathy.","authors":"Hyun-Min Choi, Jung-Woo Son, Se-Eun Kim, Jang Young Kim, Byung Su Yoo","doi":"10.36628/ijhf.2024.0071","DOIUrl":"10.36628/ijhf.2024.0071","url":null,"abstract":"Background and objectives: Left ventricular reverse remodeling (LVRR) reflects a good prognosis in patients with idiopathic dilated cardiomyopathy (IDCM). This study aimed to evaluate the usefulness of contractile reserve on dobutamine stress echocardiography (CR-DSE) for predicting LVRR in patients with IDCM.Methods: A total of 38 patients with IDCM were enrolled between March 2014 and May 2018. All patients underwent echocardiography and cardiac magnetic resonance imaging at baseline, and echocardiography at 6 months.Results: Among 38 patients, 22 (57.9%) exhibited CR-DSE at baseline, and 14 (36.8%) experienced LVRR at 6 months. LVRR occurred in 12 of the 22 patients with CR-DSE (54.5%) and in 2 of 16 patients without CR-DSE (12.5%) (p<0.05). In multivariate logistic regression analysis, a CR-DSE was an independent predictor of LVRR (odds ratio, 1.24; 95% confidence interval, 1.01-1.51; p=0.043). Delta LV ejection fraction during DSE also predicted LVRR (area under the curve: 0.765; p=0.007).Conclusions: Preserved CR-DSE was significantly associated with LVRR at 6 months, suggesting its potential utility as a functional predictor of myocardial recovery in patients with IDCM.","PeriodicalId":101410,"journal":{"name":"International journal of heart failure","volume":"7 3","pages":"152-159"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Venoarterial Extracorporeal Membrane Oxygenation on Hemodynamics and Cardiac Mechanics: Insights From Pressure-Volume Loop Analysis. 静脉体外膜氧合对血流动力学和心脏力学的影响：来自压力-容量环路分析的见解。

International journal of heart failure Pub Date : 2025-07-07 eCollection Date: 2025-07-01 DOI: 10.36628/ijhf.2025.0005

Masahiro Otake, Hidetaka Morita, Kei Sato, Keita Saku

{"title":"Impact of Venoarterial Extracorporeal Membrane Oxygenation on Hemodynamics and Cardiac Mechanics: Insights From Pressure-Volume Loop Analysis.","authors":"Masahiro Otake, Hidetaka Morita, Kei Sato, Keita Saku","doi":"10.36628/ijhf.2025.0005","DOIUrl":"10.36628/ijhf.2025.0005","url":null,"abstract":"Venoarterial extracorporeal membrane oxygenation (VA-ECMO) serves as a critical mechanical circulatory support modality, sustaining systemic circulation in cases of severe cardiac failure or cardiac arrest. While VA-ECMO improves hemodynamics, it markedly increases left ventricular (LV) afterload, contributing to pulmonary congestion and thrombus formation. This review highlights the hemodynamic and mechanical effects of VA-ECMO, employing the pressure-volume (PV) loop and the generalized circulatory equilibrium model. The PV loop framework clarifies how VA-ECMO elevates afterload, potentially reducing stroke volume and the cardiac output curve when LV contractility is severely impaired. Similarly, the generalized circulatory equilibrium concept illustrates how VA-ECMO shifts the circulatory equilibrium point in both ventricles. These models establish a mechanistic foundation for strategies combining VA-ECMO with other devices, such as an intra-aortic balloon pump, Impella, or central VA-ECMO equipped with LV venting. Based on these frameworks, appropriate patient selection, effective device management, and integration with LV unloading devices may enhance survival in patients requiring VA-ECMO.","PeriodicalId":101410,"journal":{"name":"International journal of heart failure","volume":"7 3","pages":"125-138"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Personalized Health Coaching Program in Patients With Frailty and Heart Failure: Rationale and Study Design. 个性化健康指导计划对虚弱和心力衰竭患者的影响：理论基础和研究设计。

International journal of heart failure Pub Date : 2025-06-26 eCollection Date: 2025-07-01 DOI: 10.36628/ijhf.2025.0017

Jihye Yoon, Wook-Jin Chung, Bo-Hwan Kim

{"title":"Effect of Personalized Health Coaching Program in Patients With Frailty and Heart Failure: Rationale and Study Design.","authors":"Jihye Yoon, Wook-Jin Chung, Bo-Hwan Kim","doi":"10.36628/ijhf.2025.0017","DOIUrl":"10.36628/ijhf.2025.0017","url":null,"abstract":"Frailty in heart failure (HF) patients contributes to poor outcomes, emphasizing the need for effective management. In many previous studies, frailty interventions have mainly targeted physical frailty or focused community-dwelling patients, neglecting the multidimensional needs of hospitalized individuals. As a frailty for HF patients need to include clinical, functional, psycho-cognitive, and social domains, nurses must assess it holistically and provide personalized support, especially during care transitions. This study aims to evaluate the effectiveness of a nurse-led, personalized health coaching program for hospitalized HF patients with frailty through a randomized controlled trial. This 12-week intervention program targets hospitalized HF patients with frailty. After screening frailty HF patients using validated tools such as Fried's phenotype, Tilburg Frailty Indicator, participants will be randomly assigned to either an intervention or control group. The intervention group will receive personalized health services, including pre-discharge education and weekly telephone coaching, addressing clinical, functional, psycho-cognitive, and social frailty domains. Psychiatric support and community integration program will be provided as needed. The control group will receive standard care. Frailty, quality of life (QoL), and clinical outcomes will be measured at baseline, 12 weeks, and 24 weeks. The primary outcomes will be improvements in frailty and QoL. Frailty will be measured both multidimensional and each of the 4 domains of frailty for HF patients. This study will clarify the role of multidimensional personalized interventions in addressing adverse outcomes related to frailty in patients with HF, thereby providing evidence of their necessity in its management.","PeriodicalId":101410,"journal":{"name":"International journal of heart failure","volume":"7 3","pages":"187-195"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0