MANAGEMENT OF HEART FAILURE OF MIXED ETIOLOGIES: ISCHEMIC CARDIOMYOPATHY AND A RELATIVELY HIGH OUTPUT STATE
Background Patients with ischemic cardiomyopathy from multi vessel coronary artery disease (CAD) benefit from surgical revascularization to improve cardiac function, but the optimal management strategy becomes uncertain when they also have high-output heart failure from an arteriovenous fistula (AVF...
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Veröffentlicht in: | Journal of the American College of Cardiology 2018-03, Vol.71 (11), p.A2408-A2408 |
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description | Background Patients with ischemic cardiomyopathy from multi vessel coronary artery disease (CAD) benefit from surgical revascularization to improve cardiac function, but the optimal management strategy becomes uncertain when they also have high-output heart failure from an arteriovenous fistula (AVF). After discussing the case with both interventional cardiologists and the surgical teams, the decision was made to revascularize him first to improve cardiac function and contractile reserve prior to a fistula revision, since the sudden increase in systemic vascular resistance from this procedure may worsen his condition. |
doi_str_mv | 10.1016/S0735-1097(18)32949-8 |
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After discussing the case with both interventional cardiologists and the surgical teams, the decision was made to revascularize him first to improve cardiac function and contractile reserve prior to a fistula revision, since the sudden increase in systemic vascular resistance from this procedure may worsen his condition.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/S0735-1097(18)32949-8</identifier><language>eng</language><publisher>New York: Elsevier Inc</publisher><subject>Cardiology ; Cardiomyopathy ; Cardiovascular disease ; Coronary artery ; Decision making ; Etiology ; Family medical history ; Fistula ; Heart ; Heart diseases ; Heart failure ; Ischemia ; Stents</subject><ispartof>Journal of the American College of Cardiology, 2018-03, Vol.71 (11), p.A2408-A2408</ispartof><rights>2018 American College of Cardiology Foundation</rights><rights>Copyright Elsevier Limited Mar 10, 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0735-1097(18)32949-8$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids></links><search><creatorcontrib>Tan, Weiyi</creatorcontrib><creatorcontrib>Calfon-Press, Marcella</creatorcontrib><creatorcontrib>Cruz, Daniel</creatorcontrib><title>MANAGEMENT OF HEART FAILURE OF MIXED ETIOLOGIES: ISCHEMIC CARDIOMYOPATHY AND A RELATIVELY HIGH OUTPUT STATE</title><title>Journal of the American College of Cardiology</title><description>Background Patients with ischemic cardiomyopathy from multi vessel coronary artery disease (CAD) benefit from surgical revascularization to improve cardiac function, but the optimal management strategy becomes uncertain when they also have high-output heart failure from an arteriovenous fistula (AVF). After discussing the case with both interventional cardiologists and the surgical teams, the decision was made to revascularize him first to improve cardiac function and contractile reserve prior to a fistula revision, since the sudden increase in systemic vascular resistance from this procedure may worsen his condition.</description><subject>Cardiology</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular disease</subject><subject>Coronary artery</subject><subject>Decision making</subject><subject>Etiology</subject><subject>Family medical history</subject><subject>Fistula</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Heart failure</subject><subject>Ischemia</subject><subject>Stents</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFkF1LwzAUhoMoOD9-ghDwRi-qSfPRxBsJXbYG2lW2TNxVmFkKnbrNdgr-e1cn3np14PC87-E8AFxgdIMR5rcTlBAWYSSTKyyuSSypjMQB6GHGRESYTA5B7w85Bidtu0QIcYFlD7wUaqSGutAjC8sBzLQaWzhQJp-OdbcozJPuQ21NmZdDoyd30EzSTBcmhaka901ZzMoHZbMZVKM-VHCsc2XNo85nMDPDDJZT-zC1cGKV1WfgqJq_tuH8d56C6UDbNIu66lTlkccEiSjwisVUIiG8oJQTykIcI4-rOWJcVpwhwnzsuQg0jmniPVoQ9CwpkyxUPFTkFFzuezfN-v0jtFu3XH80q91JFyNMieAJFTuK7SnfrNu2CZXbNPXbvPlyGLnOq_vx6jppDgv349V1uft9Luxe-KxD41pfh5UPi7oJfusW6_qfhm-7Z3R_</recordid><startdate>20180310</startdate><enddate>20180310</enddate><creator>Tan, Weiyi</creator><creator>Calfon-Press, Marcella</creator><creator>Cruz, Daniel</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20180310</creationdate><title>MANAGEMENT OF HEART FAILURE OF MIXED ETIOLOGIES: ISCHEMIC CARDIOMYOPATHY AND A RELATIVELY HIGH OUTPUT STATE</title><author>Tan, Weiyi ; Calfon-Press, Marcella ; Cruz, Daniel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1308-e6f5249088c8446345e220c1fa0569f65035c2c68e42247cc0d30b94595ef6ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Cardiology</topic><topic>Cardiomyopathy</topic><topic>Cardiovascular disease</topic><topic>Coronary artery</topic><topic>Decision making</topic><topic>Etiology</topic><topic>Family medical history</topic><topic>Fistula</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>Heart failure</topic><topic>Ischemia</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tan, Weiyi</creatorcontrib><creatorcontrib>Calfon-Press, Marcella</creatorcontrib><creatorcontrib>Cruz, Daniel</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, Weiyi</au><au>Calfon-Press, Marcella</au><au>Cruz, Daniel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MANAGEMENT OF HEART FAILURE OF MIXED ETIOLOGIES: ISCHEMIC CARDIOMYOPATHY AND A RELATIVELY HIGH OUTPUT STATE</atitle><jtitle>Journal of the American College of Cardiology</jtitle><date>2018-03-10</date><risdate>2018</risdate><volume>71</volume><issue>11</issue><spage>A2408</spage><epage>A2408</epage><pages>A2408-A2408</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><abstract>Background Patients with ischemic cardiomyopathy from multi vessel coronary artery disease (CAD) benefit from surgical revascularization to improve cardiac function, but the optimal management strategy becomes uncertain when they also have high-output heart failure from an arteriovenous fistula (AVF). After discussing the case with both interventional cardiologists and the surgical teams, the decision was made to revascularize him first to improve cardiac function and contractile reserve prior to a fistula revision, since the sudden increase in systemic vascular resistance from this procedure may worsen his condition.</abstract><cop>New York</cop><pub>Elsevier Inc</pub><doi>10.1016/S0735-1097(18)32949-8</doi><oa>free_for_read</oa></addata></record> |
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subjects | Cardiology Cardiomyopathy Cardiovascular disease Coronary artery Decision making Etiology Family medical history Fistula Heart Heart diseases Heart failure Ischemia Stents |
title | MANAGEMENT OF HEART FAILURE OF MIXED ETIOLOGIES: ISCHEMIC CARDIOMYOPATHY AND A RELATIVELY HIGH OUTPUT STATE |
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