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Related Concept Videos

Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...

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Related Experiment Video

Updated: Jun 19, 2026

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
09:20

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction

Published on: February 13, 2021

Advances in heart failure surgery.

Nicholas C Dang1, Faisal H Cheema, Mehmet C Oz

  • 1Department of Surgery , Columbia University College of Physicians and Surgeons, 630 West 168th Street, P&S Building, 17-415 New York, NY 10032, USA. ncd8@columbia.edu

Future Cardiology
|October 7, 2009
PubMed
Summary
This summary is machine-generated.

Heart failure affects millions, with surgery considered when medical treatments fail. This review covers common surgical options like revascularization and ventricular assist devices for heart failure management.

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Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Heart failure is a significant public health concern in Western countries, affecting nearly 5 million Americans.
  • Approximately 500,000 new heart failure cases are diagnosed annually in the USA.
  • Medical therapy is the primary treatment, with surgery reserved for cases unresponsive to medication or with correctable mechanical issues.

Purpose of the Study:

  • To review commonly performed surgical interventions for heart failure.
  • To provide an overview of surgical options beyond cardiac transplantation.

Main Methods:

  • Literature review of current surgical procedures for heart failure.
  • Focus on established and frequently utilized surgical techniques.

Main Results:

  • Surgical options for heart failure include coronary revascularization, mitral regurgitation correction, left ventricular reconstruction, and ventricular assist devices.
  • Transmyocardial laser revascularization and passive ventricular restraint devices are also discussed.
  • Cardiac transplantation is acknowledged but not detailed in this review.

Conclusions:

  • Various surgical interventions exist for managing heart failure when medical therapy is insufficient.
  • The choice of surgery depends on the underlying mechanical cause and patient condition.
  • Surgical options offer alternatives for improving outcomes in heart failure patients.