Heart Failure Vitals: January 2017

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We screened more than 880 studies on Heart Failure this month. These are the most important.

New guidelines on treatment-related heart failure in cancer survivors

Source: J Clin Oncol

  • Cancer care has improved, bringing another set of challenges, including prevention and management of treatment-related cardiac dysfunction.
  • These guidelines (available for free from ASCO) offer guidance on which patients are at risk for treatment-related dysfunction, as well as when to order echocardiography or referral to a cardiologist.

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HF risk models offer no special MAGGIC at predicting individual mortality

Source: JAMA Cardiol

  • Though current heart failure guidelines make a B-level recommendation for use of risk models to help guide clinical decision making, this cohort study suggests these models are OK for population-level predictions, but not individual ones.
  • The validated SHFM and MAGGIC calculators both failed to predict 1-year mortality in HF patients, with sensitivities of 0.5% and 3.1%, respectively.

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Are you asking your female patients with HF about urinary incontinence distress?

Source: Int J Clin Pract

  • Many women with heart failure develop urinary incontinence, which treatment can exacerbate.

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Previous Vitals on Heart Failure: December '16November '16

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