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@uoflenvirome.bsky.social @uoflmedicine.bsky.social @stevenpjones.bsky.social #musclesky #cardiosky #HFrEF #heartfailure #skeletalmuscle #cardiology

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JAMA Cardiology presents an editorial, "Prioritizing Time from Diagnosis to Quadruple Therapy in Heart Failure Care," by Neil M. Kalwani text@1, Jessica R. Golbus text@2, and Stephen J. Greene text@3. Published online April 1, 2026.

JAMA Cardiology presents an editorial, "Prioritizing Time from Diagnosis to Quadruple Therapy in Heart Failure Care," by Neil M. Kalwani text@1, Jessica R. Golbus text@2, and Stephen J. Greene text@3. Published online April 1, 2026.

💬 Editorial: Among patients with #HFrEF in the Veterans Health Administration, fewer than 1 in 6 achieved quadruple therapy and the median time to initiation exceeded 6 months.

ja.ma/41Ef3Vj

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FUND-HF pilot shows feasible post-discharge financial support for vulnerable #HFrEF patients with high #SDOH burden and poor HRQOL. Early efficacy, safety, and design insights support a larger multicenter trial. https://bit.ly/4bIWRzK

#ACC26 #JACCAdvances #QoL #CardioSky

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Figure 2 shows temporal trends in outcomes for heart failure patients with reduced ejection fraction after quadruple therapy. Graph A: 30-day follow-up; Graph B: 12-month. Both graphs compare cumulative incidence % between July-Sept text@1 and Oct-Dec text@2.

Figure 2 shows temporal trends in outcomes for heart failure patients with reduced ejection fraction after quadruple therapy. Graph A: 30-day follow-up; Graph B: 12-month. Both graphs compare cumulative incidence % between July-Sept text@1 and Oct-Dec text@2.

In US practice, older adults hospitalized for #HFrEF and prescribed quadruple therapy still face 1 in 5 risk of death and 1 in 4 risk of heart failure rehospitalization at 1 year, with high associated health care costs.

ja.ma/4cTH9mg

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Nomogram-Based Prediction of Mortality after Cardiac Resynchronization Therapy in Patients with Heart Failure A predictive nomogram to improve risk stratification after cardiac resynchronization therapy (CRT) in patients with heart failure.

This study builds a bedside #nomogram including NOAF, age, NYHA class, sodium, platelets, and #GDMT to predict post-CRT mortality in #HFrEF, showing high accuracy & enabling personalized risk stratification, follow-up, & therapy optimization to improve outcomes.

#OpenAccess: tinyurl.com/2c6u2rk2

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Figure 2 shows temporal trends in clinical outcomes for heart failure patients with reduced ejection fraction. Graph A: 30-day follow-up, Graph B: 12-month follow-up. Bars compare cumulative incidence in July 2021-Sept 2022 to Oct 2022-Dec 2023.

Figure 2 shows temporal trends in clinical outcomes for heart failure patients with reduced ejection fraction. Graph A: 30-day follow-up, Graph B: 12-month follow-up. Bars compare cumulative incidence in July 2021-Sept 2022 to Oct 2022-Dec 2023.

Among older patients hospitalized for #HFrEF, prescription of quadruple medical therapy at discharge was associated w/ a 1-year mortality of 19% and heart failure rehospitalization rate of 26%, w/ median health care costs of nearly $28,000 per patient.

ja.ma/4akLpJT

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Managing HF Across the Spectrum: This interactive online course offers practical tools to assess risk, classify HF phenotypes, & apply GDMT through an interprofessional care lens. Learn how to tackle pivotal issues in #HFrEF, & more. 👇

🔖 https://bit.ly/3O8JvDp

#ACCEd #CardioSky #MedSky

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Figure shows temporal trends in clinical outcomes for heart failure patients with reduced ejection fraction. Two bar graphs compare cumulative incidence (%) at 30-day & 12-month follow-ups for all-cause mortality, HF hospitalization, & combined outcomes.

Figure shows temporal trends in clinical outcomes for heart failure patients with reduced ejection fraction. Two bar graphs compare cumulative incidence (%) at 30-day & 12-month follow-ups for all-cause mortality, HF hospitalization, & combined outcomes.

Among older patients hospitalized for #HFrEF, prescription of quadruple medical therapy at discharge was associated with a 1-year mortality of 19% and heart failure rehospitalization rate of 26%, with median health care costs of nearly $28,000 per patient.

ja.ma/4t1I8ql

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Lactate Dehydrogenase and Outcomes in Patients With HF and Reduced Ejection Fraction: Insights From GALACTIC-HF

Niveles elevados de LDH se asocian con un riesgo elevado de variables clínicas en la insuficiencia cardíaca con fracción de eyección reducida #HFrEF. #LDH www.jacc.org/doi/10.1016/...

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JAMA study: treatments for heart failure(HF) effective for HF with reduced ejection fraction due to Chagas disease? 922 patients randomized. Sacubitril/valsartan: 23.8% death from cardiovascular causes. Enalapril: 25.4%. NT-proBNP change: -30.6% vs -5.5%.

JAMA study: treatments for heart failure(HF) effective for HF with reduced ejection fraction due to Chagas disease? 922 patients randomized. Sacubitril/valsartan: 23.8% death from cardiovascular causes. Enalapril: 25.4%. NT-proBNP change: -30.6% vs -5.5%.

RCT: In patients with #Chagas-related #HFrEF, sacubitril/valsartan did not reduce rates of cardiovascular death or heart failure hospitalization compared with enalapril.

ja.ma/4aNRXBs

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Vericiguat in Heart Failure: Insights From the VICTOR Trial - American College of Cardiology

The VICTOR study results complement those of the VICTORIA by extending the evidence base for vericiguat in a contemporary lower-risk, well-treated ambulatory #HFrEF population.

Explore more insights from the VICTOR trial ➡️ https://bit.ly/4blPC0O #HeartFailure

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JAMA study: Sacubitril/valsartan vs. enalapril for heart failure due to Chagas disease. 922 patients randomized. Findings: Sacubitril/valsartan showed a greater reduction in NT-proBNP compared to enalapril. No significant difference in death/hospitalization.

JAMA study: Sacubitril/valsartan vs. enalapril for heart failure due to Chagas disease. 922 patients randomized. Findings: Sacubitril/valsartan showed a greater reduction in NT-proBNP compared to enalapril. No significant difference in death/hospitalization.

RCT: In patients with #Chagas-related #HFrEF, sacubitril/valsartan did not reduce rates of cardiovascular death or heart failure hospitalization compared with enalapril.

ja.ma/4aex1mK

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How is your team addressing chronic disease education? Share your strategies! 👇

8/7
#MoreThanAJournal #howwehospitalist #HeartFailure #PatientEducation #HospitalMedicine #GDMT #HFpEF #HFrEF #MedTwitter

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Heart failure with reduced ejection fraction.

www.thelancet.com/journals/lan...

@thelancet.com
#CardioSky #HFrEF #HeartFailure

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📢 POLY-HF: Daily Polypill Boosts Heart Function, QOL, and Cuts Hospitalizations in Underserved Patients With #HFrEF

Read more: https://bit.ly/4hV9byv

#AHA25 #HeartFailure #CardioSky #MedSky

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ACC CardiaCast: In this episode, Drs. @mkittlesonmd.bsky.social & Estefania Oliveros Soles discuss the biggest challenges in #HFrEF and #HFpEF, focusing on hyperkalemia (uncommon) and hypokalemia (associated with higher mortality).

Tune in here ➡️ https://bit.ly/46Tt8lk #HeartFailure #CardioSky

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Management of primary central nervous system lymphoma and coexisting heart failure with reduced ejection fraction: a narrative review Explore current treatments for primary central nervous system lymphoma, including those involving high-dose methotrexate, and their implications for patients with heart failure with reduced ejection…

Explore current treatments for primary central nervous system lymphoma, including those involving high-dose #methotrexate, and their implications for patients with #HFrEF.

👉https://buff.ly/hHicXoQ

#NeuroSky #PCNSL

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Vericiguat for patients with heart failure and reduced ejection fraction across the risk spectrum: an individual participant data analysis of the VICTORIA and VICTOR trials Vericiguat reduced the risk of hospitalisation for heart failure and cardiovascular death in patients with HFrEF across a broad range of clinical severity, including those receiving contemporary guide...

Vericiguat reduce riesgo de hospitalización por insuficiencia cardíaca y muerte por causas CV en pac c/insuficiencia cardíaca c/fracción de eyección reducida, independientemente de la gravedad, incluyendo los q reciben terapia médica según guías #vericiguat #HFrEF www.thelancet.com/journals/lan...

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Digitoxin in Patients with Heart Failure and Reduced Ejection Fraction | NEJM The therapeutic efficacy of the cardiac glycoside digitoxin in patients with heart failure and reduced ejection fraction is not established. In this international, double-blind, placebo-controlled ...

En pacientes con insuficiencia cardíaca y fracción de eyección reducida que reciben terapia médica según las guías, el tratamiento con digitoxina reduce el riesgo de muerte por cualquier causa o ingreso por empeoramiento de la insuficiencia cardíaca #digitoxin #HFrEF www.nejm.org/doi/full/10....

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In #HFrEF, quadruple therapy (ARNi, β-blockers, MRA, #SGLT2i) improves survival. Adding #vericiguat may offer a modest ~0.7-year gain, though findings are exploratory, as they are derived from a secondary endpoint of a single trial https://bit.ly/4mE83Rp

#JACC #ESCCongress #WCCardio

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When to downtitrate/stop #GDMT in #HFrEF? Prof #BiykemBozkurt 🫀

📍Recovered: individualized, may consider de-escalation
📍Improving: continue/optimize
📍Persistent: escalate, close FU/referral
📍Refractory: ⬇️doses/advanced tx

⚠️No solid data for routine withdrawal

#ESCCongress @escardio.bsky.social

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🔥 long awaited data on digitoxin💊 in chronic #HFrEF
✔️ significant reduction in death or first hospital admission for worsening heart failure
✔️ treatment with digitoxin was safe
nejm.org/doi/full/10.10…
➡️ more data on digoxin to follow next year #DECISIONtrial @escardio.bsky.social

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🚨 #HFpEF#HFrEF! Turns out, the #immunesystem knows the difference. We profiled #immunecells in HFpEF patients (scRNA-seq) & mice-showing conserved inflammatory programs & the therapeutic potential of #NO₂-OA. 👉 doi.org/10.1161/CIRC...

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#SOLOISTWHF is an example of sheermarketing. Enlist a highly diverse cohort of 79% HFrEF and 21% #HfrEF then market the results as positive for HfpEF. A closer look at the CI reveals an imprecise underpowered & completely useless trial. Pure marketing.

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Free Open Access Comparison Chart: Some Drugs for HFrEF bit.ly/43a4PxF

#HeartFailure #HFrEF #FOAMed

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Read our latest issue, Drugs for Chronic Heart Failure: bit.ly/44E8FjQ

The Comparison Chart: Some Drugs for HFrEF is freely accessible.
#Heartfailure #FOAMed #HFrEF #HFpEF

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【診断後早期のGDMT開始 [可能例】でHFrEFの転帰改善/ ESC HF

デンマークHFレジストリ、HFrEF 46,816例観察:

・診断4週間以内のガイドライン推奨薬「3~4」剤「開始」で「非開
 始」に比べ、1年間死亡の補正後HRは0.65 [95CI:0.55-0.78]、3
 年間なら0.67 [0.59-0.76]。
・一方、「1~2」剤開始でも0.73 [95%CI:0.61-0.86]と0.75 [0.66-
 0.86]。
・CV死亡も同様。

x.gd/OA954

#HFrEF #GDMT

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🚦Latest @medscape.com Primary Care #hack is live!

🔥Paired #hacks covering the diagnosis & management of #HFrEF & #HFpEF in primary care

PDF download link in comments 👇🏾

@pharmrj.pharmsky.app @goggledocs.bsky.social @hpillminster.pharmsky.app

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Growth Hormone Replacement Therapy in Heart Failure With Reduced Ejection Fraction: A Randomized, Double-Blind, Placebo-Controlled Trial

New study in #JACCHF on growth hormone (GH) replacement in patients with GH deficiency + #HFrEF
🔸 Improved exercise capacity + #QoL in GH replacement vs controls
🔸 Impetus here to screen for GH more, consider in those with residual symptoms despite #GDMT

📎: www.jacc.org/doi/10.1016/... #CardioSky

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Awesome talk from @mkittlesonmd.bsky.social on #HF in women from #GDMT to #VAD and #transplant #HFpEF #HFrEF
@womensheart.bsky.social
#CardioSky

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