The potential role of nonpharmacologic electrophysiology-based interventions in improving outcomes in patients hospitalized for heart failure

Norman C Wang; Jonathan P Piccini; Gregg C Fonarow; Bradley P Knight; Matthew E Harinstein; Javed Butler; Marc K Lahiri; Marco Metra; Muthiah Vaduganathan; Mihai Gheorghiade

doi:10.1016/j.hfc.2013.04.007

The potential role of nonpharmacologic electrophysiology-based interventions in improving outcomes in patients hospitalized for heart failure

Heart Fail Clin. 2013 Jul;9(3):331-43, vi-vii. doi: 10.1016/j.hfc.2013.04.007.

Authors

Norman C Wang¹, Jonathan P Piccini, Gregg C Fonarow, Bradley P Knight, Matthew E Harinstein, Javed Butler, Marc K Lahiri, Marco Metra, Muthiah Vaduganathan, Mihai Gheorghiade

Affiliation

¹ Heart and Vascular Institute, University of Pittsburgh Medical Center, 200 Lothrop Street, Pittsburgh, PA 15213, USA.

PMID: 23809419
DOI: 10.1016/j.hfc.2013.04.007

Abstract

Hospitalization for heart failure (HHF) is commonly associated with symptomatic improvement in response to standard medical therapy, yet there remains a substantial risk of rehospitalization and death. Clinically stable outpatients and decompensated inpatients represent two types of patients with chronic heart failure. In the former, treatment of common heart rhythm disorders with nonpharmacologic electrophysiology-based interventions is of substantial benefit in select patients. The potential benefits of these interventions in the hospitalized setting are not well studied. In this review, current knowledge is discussed and future research directions are suggested with nonpharmacologic electrophysiology-based interventions to reduce the morbidity and mortality associated with patients with HHF.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Electrophysiology / methods*
Heart Failure / therapy*
Humans
Inpatients*
Outcome Assessment, Health Care / methods*
Registries*