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
Hauptverfasser: Tan, Weiyi, Calfon-Press, Marcella, Cruz, Daniel
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Cruz, Daniel
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.
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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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