CONGRESS ABSTRACT

Background and aims: Pulmonary and/or peripheral venous congestion defines the clinical diagnosis of acute heart failure (AHF). However, the systolic pulmonary arterial pressure (sPAP) thresholds at which pulmonary (chest x-ray) and inferior vena cava (IVC) congestion occur are not well established. This study aimed to identify a cut-off value…

AIMS: Hypoalbuminemia (HA) is increasingly recognized as a strong predictor of all-cause mortality in patients with acute heart failure (AHF). Because serum albumin correlates with other prognostic factors (e.g., congestion and inflammation), we investigated whether these pathways mediate the association between HA and outcomes. METHODS: In this retrospective cohort…

AIMS: Elevation of cardiac troponin (cTn) is a strong predictor of mortality in acute heart failure (AHF), but the mechanisms underlying cTn release are not fully understood. Beyond acute myocardial ischaemia, ventricular stretch, systemic inflammation and renal dysfunction may contribute. We evaluated the prognostic association between high-sensitivity cardiac troponin…

Cardiogenic shock remains a major clinical challenge, requiring timely recognition and intervention. Optimal management involves escalation of mechanical circulatory support (MCS), ideally within an organized hub-and-spoke network. We report the case of a 68-year-old man with ischemic heart disease due to complex coronary artery disease, with multiple percutaneous coronary…

Background: Heart failure with preserved or mildly reduced ejection fraction (HFpEF/HFmrEF) accounts for a large share of acute heart failure (AHF) admissions. However, it remains uncertain how often decompensation is attributable to isolated diastolic dysfunction, without relevant structural or arrhythmic disease, as required by guideline-based definitions. Although HFmrEF is…

Short term mechanical circulatory support (ST-MCS) could be a bridge-to-bridge strategy in INTERMACS-1 patients candidate to intracorporeal left ventricular assist device (LVAD). In this setting cannulation is usually performed through femoro-femoral percutaneous access. Nevertheless, it hinders nursing and patient’s early mobilization. Here we describe our strategy for the reconfiguration…

Objectives: Patients with acute heart failure (AHF) often receive initial non-invasive ventilation (NIV). This study aimed to evaluate the prognostic role of NIV in patients hospitalized for AHF. Methods: This was a retrospective cohort study. We enrolled patients admitted to our cardiac intensive care unit with a diagnosis of…

Background: In hematologic patients undergoing repeated transfusions, iron overload may cause dilated cardiomyopathy and arrhythmias. After excluding coronary artery disease, tissue characterization by cardiac magnetic resonance (CMR) enables the diagnosis of cardiac siderosis. Case presentation: A 56-year-old man with a myeloproliferative neoplasm on ruxolitinib, candidate for allogeneic transplantation, had…