MANAGEMENT STRATEGY OF DIFFERENT HF PHENOTYPES.pptx

akj2410 14 views 96 slides Jun 09, 2024
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About This Presentation

How to manage the patients of heart failure is discussed in detail in this slide. Also the various subtypes are dealt separately.


Slide Content

MANAGEMENT STRATEGY OF DIFFERENT HF PHENOTYPES

HF PHENOTYPES WET PHENOTYPE DE NOVO HF WORSENING HF CARDIORENAL HF FRAIL HF

DAPA-HF: Patients in the Dapagliflozin Group Are Still at Risk for CV Death or HFH

Contextualizing Risk Among Patients With HF

The De Novo Heart Failure Phenotype

Definition of De Novo HF Phenotype

How to Initiate Therapies in Patient With De Novo HF?

Medical Management Strategies for Patients Hospitalized With De Novo HF

De Novo HF Recommendations

BIG TIP!

Oral Therapy Should Be Initiated During Hospitalization and Promptly Optimized Around Discharge

Speed Matters: STRONG-HF

Speed Matters: Intensive Follow-Up With a Rapid Up-Titration Strategy Can Increase the Proportion of Patients Achieving Optimal GDMT

Optimized Treatment Sequencing Reduces a Larger Number of Deaths and HHF Compared With Conventional Sequencing

20% Reduction in Risk of Death/HF Hospitalisation, ~42% Reduction in Risk of Death, and an Increase of > 5 Years in Life Expectancy

Management and Prevention of Worsening/Advanced Heart Failure

WORSENING HF PHENOTYPE

Vericiguat Stimulates sGC

VICTORIA Trial: Targeting the sGC Pathway in Patients With Worsening HFrEF

Indication-Corrected Adherence Was Very High in VICTORIA

VICTORIA Showed Significant Reduction in the Annualized Absolute Rate of Time to HFH or CV Death by 4.2 Events/100 PY

Subgroup Analysis of Primary Endpoint: ITT

NT-proBNP and Clinical Outcomes

Contemporary HF Outcome Trials: Secondary Endpoint, Absolute Rate Reduction

Underutilization of GDMT

VICTORIA Demonstrated Similar Rates of AEs and SAEs Across Both Study Arms

No Excessive Blood Pressure Reductions Were Observed With Vericiguat in Patients at Risk for Hypotension

Impact of Vericiguat on Renal Function Trajectories Was Similar to that of Placebo

Incidence of Hyperkalemia Was Similar Between Treatment Arms, Even in Patients With Low Renal Function

Vericiguat as Part of a Multidrug Approach Following a Worsening HF Event

Recent Years Have Brought New Guidance and Recommendations in HF Across International Societies

ESC-HFA Consensus Statement: Treatment And Prevention Of Worsening HF

Discontinuation of GDMT in 23% to 42% Following Hospitalization

Hospitalization: Reflects Patient Risk + Opportunity

MANAGEMENT OF HF ACCORDING TO PHENOTYPES

HFpEF Understanding the Optimal Treatment Algorithm With Supporting Data

MANAGEMENT OF HFPEF

HFrEF: Pathophysiology Makes Sense

The Interplay of Comorbidities

HFpEF Therapies: The Bad, the Promising, and the Hopeful

SGLT2 inhibitors

Spironolactone

Spironolactone

Angiotensin Receptor-Neprilysin Inhibitors

Angiotensin Receptor Blockers

Exercise/Weight Loss Works!

GLP-1 Receptor Agonists

GLP-1 RA in HFpEF

GLP-1 RA in HFpEF

Interatrial Shunt Devices

Interatrial Shunt Devices

REDUCE-LAP HF II

REDUCE-LAP HF II

HOPE EXISTS FOR HFPEF

Advances in Chronic Heart Failure Therapies: Beyond Drugs to Devices

HF THERAPY:BEYOND DRUGS

Filling the Gap

Filling the Gap

Filling the Gap

Effect of Baroreflex Activation on Sympathetic Tone

Barostimulation Therapy

Durable Improvement in Quality of Life (MLWHF)

Cardiac Contractility Modulation

FIX-HF-5 and FIX-HF-5C Cardiovascular Death and HF Hospitalizations

Sleep Disordered Breathing Is Strongly Associated With Increased Mortality in HF Patients

Transvenous Phrenic Nerve Stimulation

Volume Redistribution Concept: Splanchnic Nerve Modulation [1-3]

Volume Redistribution Concept: Splanchnic Nerve Modulation [1-3]

Primary Efficacy Endpoint Met With Significantly Reduced Heart Failure Hospitalization

Remote Monitoring

Remote Monitoring

Classification of MR Primary (Degenerative) and Secondary (Functional)

Primary Effectiveness Endpoint All Hospitalizations for HF Within 24 Months

The Carillon Mitral Contour System