A Contemporary Systematic Approach to Assessing the Patient with Heart Failure with Reduced Ejection Fraction: Multimodal Noninvasive and Invasive Evaluation

Siu Hin Wan, Paul M. McKie, John P. Bois

Research output: Contribution to journalReview article

Abstract

Heart failure with reduced ejection fraction (HFrEF) is a progressive clinical syndrome commonly associated with left ventricle dilatation and characterized by reduced cardiac output, secondary pulmonary and systemic venous congestion, and inadequate peripheral oxygen delivery. It is common yet complex and requires synthesis of evidence-based guidelines along with strong clinical acumen. The following is a review of an illustrative case that highlights the important clinical considerations in diagnosis, assessment, and management of HFrEF commonly encountered in practice. Explanations provided highlight of the relevant pathophysiology of HFrEF as well as detailed explanations of interpretation of examinations and both noninvasive and invasive assessment in heart failure. The example provided would hopefully serve as a potential point of reference for trainees as well as healthcare practitioners for patients with HFrEF.

Original languageEnglish (US)
Article number3039740
JournalCardiology Research and Practice
Volume2019
DOIs
StatePublished - Jan 1 2019

Fingerprint

Heart Failure
Hyperemia
Cardiac Output
Heart Ventricles
Dilatation
Guidelines
Oxygen
Delivery of Health Care
Lung

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

@article{a6e0564ee07c4d7daf2f19c75a321dd9,
title = "A Contemporary Systematic Approach to Assessing the Patient with Heart Failure with Reduced Ejection Fraction: Multimodal Noninvasive and Invasive Evaluation",
abstract = "Heart failure with reduced ejection fraction (HFrEF) is a progressive clinical syndrome commonly associated with left ventricle dilatation and characterized by reduced cardiac output, secondary pulmonary and systemic venous congestion, and inadequate peripheral oxygen delivery. It is common yet complex and requires synthesis of evidence-based guidelines along with strong clinical acumen. The following is a review of an illustrative case that highlights the important clinical considerations in diagnosis, assessment, and management of HFrEF commonly encountered in practice. Explanations provided highlight of the relevant pathophysiology of HFrEF as well as detailed explanations of interpretation of examinations and both noninvasive and invasive assessment in heart failure. The example provided would hopefully serve as a potential point of reference for trainees as well as healthcare practitioners for patients with HFrEF.",
author = "Wan, {Siu Hin} and McKie, {Paul M.} and Bois, {John P.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1155/2019/3039740",
language = "English (US)",
volume = "2019",
journal = "Cardiology Research and Practice",
issn = "2090-8016",
publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - A Contemporary Systematic Approach to Assessing the Patient with Heart Failure with Reduced Ejection Fraction

T2 - Multimodal Noninvasive and Invasive Evaluation

AU - Wan, Siu Hin

AU - McKie, Paul M.

AU - Bois, John P.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Heart failure with reduced ejection fraction (HFrEF) is a progressive clinical syndrome commonly associated with left ventricle dilatation and characterized by reduced cardiac output, secondary pulmonary and systemic venous congestion, and inadequate peripheral oxygen delivery. It is common yet complex and requires synthesis of evidence-based guidelines along with strong clinical acumen. The following is a review of an illustrative case that highlights the important clinical considerations in diagnosis, assessment, and management of HFrEF commonly encountered in practice. Explanations provided highlight of the relevant pathophysiology of HFrEF as well as detailed explanations of interpretation of examinations and both noninvasive and invasive assessment in heart failure. The example provided would hopefully serve as a potential point of reference for trainees as well as healthcare practitioners for patients with HFrEF.

AB - Heart failure with reduced ejection fraction (HFrEF) is a progressive clinical syndrome commonly associated with left ventricle dilatation and characterized by reduced cardiac output, secondary pulmonary and systemic venous congestion, and inadequate peripheral oxygen delivery. It is common yet complex and requires synthesis of evidence-based guidelines along with strong clinical acumen. The following is a review of an illustrative case that highlights the important clinical considerations in diagnosis, assessment, and management of HFrEF commonly encountered in practice. Explanations provided highlight of the relevant pathophysiology of HFrEF as well as detailed explanations of interpretation of examinations and both noninvasive and invasive assessment in heart failure. The example provided would hopefully serve as a potential point of reference for trainees as well as healthcare practitioners for patients with HFrEF.

UR - http://www.scopus.com/inward/record.url?scp=85072737720&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072737720&partnerID=8YFLogxK

U2 - 10.1155/2019/3039740

DO - 10.1155/2019/3039740

M3 - Review article

AN - SCOPUS:85072737720

VL - 2019

JO - Cardiology Research and Practice

JF - Cardiology Research and Practice

SN - 2090-8016

M1 - 3039740

ER -