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Integration of implantable device therapy in patients with heart failure. A clinical consensus statement from the Heart Failure Association (HFA) and European Heart Rhythm Association (EHRA) of the European Society of Cardiology (ESC)

Mullens, Wilfried (author)
Ziekenhuis Oost Limburg, Belgium; UHasselt, Belgium; Ziekenhuis Oost Limburg, Belgium
Dauw, Jeroen (author)
Ziekenhuis Oost Limburg, Belgium; UHasselt, Belgium
Gustafsson, Finn (author)
Univ Hosp Copenhagen, Denmark
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Mebazaa, Alexandre (author)
Univ Paris, France; St Louis Lariboisiere Univ Hosp, France
Steffel, Jan (author)
Hirslanden Heart Clin, Switzerland; Univ Zurich, Switzerland,Univ Warwick, England
Witte, Klaus K. (author)
Rhein Westfal TH Aachen, Germany
Delgado, Victoria (author)
Leiden Univ, Netherlands; Hosp Univ Germans Trias i Pujol, Spain
Linde, Cecilia (author)
Karolinska Institutet,Karolinska Univ Hosp, Sweden
Vernooy, Kevin (author)
Maastricht Univ Med Ctr MUMC, Netherlands
Anker, Stefan D. (author)
Charite Univ Med Berlin, Germany; Charite Univ Med Berlin, Germany
Chioncel, Ovidiu (author)
Univ Med & Pharm Carol Davila, Romania
Milicic, Davor (author)
Univ Zagreb, Croatia
Hasenfuss, Gerd (author)
Univ Med Ctr Gottingen UMG, Germany
Ponikowski, Piotr (author)
Wroclaw Med Univ, Poland
Stephan von Bardeleben, Ralph (author)
Univ Med Ctr Mainz, Germany
Koehler, Friedrich (author)
Charite Univ Med Berlin, Germany
Ruschitzka, Frank (author)
Univ Hosp Zurich, Switzerland
Damman, Kevin (author)
Univ Groningen, Netherlands
Schwammenthal, Ehud (author)
Sheba Med Ctr, Israel; Tel Aviv Univ, Israel
Testani, Jeffrey M. (author)
Yale Sch Med, CT USA,Univ Brescia, Italy; Univ Brescia, Italy
Zannad, Faiez (author)
Univ Lorraine, France
Boehm, Michael (author)
Saarland Univ, Germany
Cowie, Martin R. (author)
Kings Coll London, England; Kings Coll London, England,St Georges Univ, England
Dickstein, Kenneth (author)
Univ Bergen, Norway; Stavanger Univ Hosp, Norway
Jaarsma, Tiny (author)
Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Univ Med Ctr Utrecht, Netherlands; Australian Catholic Univ, Australia
Filippatos, Gerasimos (author)
Natl & Kapodistrian Univ Athens, Greece
Volterrani, Maurizio (author)
IRCCS San Raffaele, Italy
Thum, Thomas (author)
Hannover Med Sch, Germany; Fraunhofer Inst Toxicol & Expt Med, Germany
Adamopoulos, Stamatis (author)
Onassis Cardiac Surg Ctr, Greece
Cohen-Solal, Alain (author)
Univ Hosp Lariboisiere, France; Univ Paris Cite, France
Moura, Brenda (author)
Armed Forces Hosp, Portugal; Fac Med Porto, Portugal
Rakisheva, Amina (author)
Sci Inst Cardiol & Internal Med, Kazakhstan
Ristic, Arsen (author)
Univ Belgrade, Serbia; Serbian Acad Arts & Sci, Serbia
Bayes-Genis, Antoni (author)
Hosp Univ Germans Trias i Pujol, Spain
Van Linthout, Sophie (author)
Charite Univ Med Berlin, Germany; German Ctr Cardiovasc Res DZHK, Germany
Tocchetti, Carlo Gabriele (author)
Dept Translat Med Sci DISMET, Italy; Interdept Hypertens Res Ctr CIRIAPA, Italy; Univ Naples Federico II, Italy
Savarese, Gianluigi (author)
Karolinska Institutet,Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden
Skouri, Hadi (author)
Amer Univ Beirut, Lebanon
Adamo, Marianna (author)
Univ Brescia, Italy; Univ Brescia, Italy
Amir, Offer (author)
Hebrew Univ Jerusalem, Israel
Yilmaz, Mehmet Birhan (author)
Dokuz Eylul Univ, Turkiye
Simpson, Maggie (author)
NHS Greater Glasgow & Clyde, Scotland
Tokmakova, Mariya (author)
Med Univ Plovdiv, Bulgaria
Gonzalez, Arantxa (author)
CIMA Univ Navarra, Spain; Navarra Inst Hlth Res, Spain; Carlos III Inst Hlth, Spain
Piepoli, Massimo (author)
Univ Milan, Italy
Seferovic, Petar (author)
Univ Belgrade, Serbia; Serbian Acad Arts & Sci, Serbia
Metra, Marco (author)
Univ Brescia, Italy; Univ Brescia, Italy
Coats, Andrew J. S. (author)
Univ Warwick, England
Rosano, Giuseppe M. C. (author)
St Georges Univ, England
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 (creator_code:org_t)
2024
2024
English.
In: European Journal of Heart Failure. - : WILEY. - 1388-9842 .- 1879-0844.
  • Journal article (peer-reviewed)
Abstract Subject headings
Close  
  • Implantable devices form an integral part of the management of patients with heart failure (HF) and provide adjunctive therapies in addition to cornerstone drug treatment. Although the number of these devices is growing, only few are supported by robust evidence. Current devices aim to improve haemodynamics, improve reverse remodelling, or provide electrical therapy. A number of these devices have guideline recommendations and some have been shown to improve outcomes such as cardiac resynchronization therapy, implantable cardioverter-defibrillators and long-term mechanical support. For others, more evidence is still needed before large-scale implementation can be strongly advised. Of note, devices and drugs can work synergistically in HF as improved disease control with devices can allow for further optimization of drug therapy. Therefore, some devices might already be considered early in the disease trajectory of HF patients, while others might only be reserved for advanced HF. As such, device therapy should be integrated into HF care programmes. Unfortunately, implementation of devices, including those with the greatest evidence, in clinical care pathways is still suboptimal. This clinical consensus document of the Heart Failure Association (HFA) and European Heart Rhythm Association (EHRA) of the European Society of Cardiology (ESC) describes the physiological rationale behind device-provided therapy and also device-guided management, offers an overview of current implantable device options recommended by the guidelines and proposes a new integrated model of device therapy as a part of HF care.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Keyword

Heart failure; Device therapy

Publication and Content Type

ref (subject category)
art (subject category)

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