Heart Failure Failure Guidelines 2016 Guidelines 2016 Heart Focus - - PowerPoint PPT Presentation

heart failure failure guidelines 2016 guidelines 2016
SMART_READER_LITE
LIVE PREVIEW

Heart Failure Failure Guidelines 2016 Guidelines 2016 Heart Focus - - PowerPoint PPT Presentation

Heart Failure Failure Guidelines 2016 Guidelines 2016 Heart Focus on Devices Focus on Devices Frank Ruschitzka, MD, FESC, FRCP Frank Ruschitzka, MD, FESC, FRCP Professor and and Co-Head Co-Head Professor Dept. . Cardiology Cardiology


slide-1
SLIDE 1

Heart Heart Failure Failure Guidelines 2016 Guidelines 2016 Focus on Devices Focus on Devices

Frank Ruschitzka, MD, FESC, FRCP Frank Ruschitzka, MD, FESC, FRCP Professor Professor and and Co-Head Co-Head Dept Dept. . Cardiology Cardiology University Heart Center University Heart Center Zurich Zurich/ /Switzerland Switzerland President-elect President-elect HFA HFA

slide-2
SLIDE 2

www.escardio.org/guidelines

2

slide-3
SLIDE 3

“It ought to be remembered that there is nothing more difficult to take in hand, more perilous to conduct,

  • r more uncertain in its success,

than to take the lead in the introduction of a new order of things.”

Niccolò Machiavelli The Prince. 1513

slide-4
SLIDE 4

www.escardio.org/guidelines

Therapeutic algorithm for a patient with symptomatic HF with reduced ejection fraction.

Ponikowski et al., EHJ and EJHF 2016 (in press)

slide-5
SLIDE 5

www.escardio.org/guidelines

Recommendations for cardiac resynchronization therapy implantation in patients with heart failure

Ponikowski et al., EHJ and EJHF 2016 (in press)

slide-6
SLIDE 6

CRT: Live Saving Therapy in Wide QRS

Cleland J, et al. NEJM 2005 Ruschitzka F., et al. NEJM 2013

CARE-HF EchoCRT

slide-7
SLIDE 7

Primary Outcome Events, stratified by QRS Duration in EchoCRT

Steffel EHJ 2015

slide-8
SLIDE 8

The „QRS“ Sweet Spot for CRT

Cleland EHJ 2013

slide-9
SLIDE 9

/

The Do`s and Don`ts of CRT

Ruschitzka HFA 2016

  • mod. Cleland EHJ 2013

NO Yes

slide-10
SLIDE 10

/

The Do`s and Don`ts of CRT

Ruschitzka HFA 2016

  • mod. Cleland EHJ 2013

NO Yes

slide-11
SLIDE 11

/

The Do`s and Don`ts of CRT

Ruschitzka HFA 2016

  • mod. Cleland EHJ 2013

NO Yes

LBB morphology Non- LBB morphology

slide-12
SLIDE 12

www.escardio.org/guidelines

Recommendations for cardiac resynchronization therapy implantation in patients with heart failure

Ponikowski et al., EHJ and EJHF 2016 (in press)

slide-13
SLIDE 13

www.escardio.org/guidelines

Recommendations for implantable cardioverter- defibrillator in patients with heart failure

Ponikowski et al., EHJ and EJHF 2016 (in press)

slide-14
SLIDE 14

www.escardio.org/guidelines

Recommendations for multidisciplinary management and monitoring of patients with heart failure

Ponikowski et al., EHJ and EJHF 2016 (in press)

slide-15
SLIDE 15

www.escardio.org/guidelines

Recommendations for implantation of mechanical circulatory support in patients with refractory HF

slide-16
SLIDE 16

www.escardio.org/guidelines

Heart transplantation: indications & contra- indications

Ponikowski et al., EHJ and EJHF 2016 (in press)

slide-17
SLIDE 17

www.escardio.org/guidelines

Recommendations regarding renal replacement therapy in patients with acute heart failure

slide-18
SLIDE 18

www.escardio.org/guidelines

Ponikowski et al., EHJ and EJHF 2016 (in press)

slide-19
SLIDE 19

Bridging the Great Divide: A Step towards Harmonizing Guidelines

slide-20
SLIDE 20

Merci

Frank Ruschitzka, MD, FRCP Professor Professor and and Co-Head Co-Head of

  • f

Cardiology Cardiology University University Heart Center Heart Center Zürich, Zürich, Switzerland Switzerland President-elect ESC-HFA E-mail: frank.ruschitzka@usz.ch