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Renin-Angiotensin System Inhibition and Lower 30-Day All-Cause Readmission in Medicare Beneficiaries with Heart Failure

  Heart failure is the leading cause for 30-day all-cause readmission, the reduction of which is a goal of the Affordable Care Act. There is a growing interest in understanding the impact of evidence-based heart failure therapy on 30-day all-cause readmission. In the current study, we examined the impact of angiotensin-converting enzyme inhibitors or angiotensin […]

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Impact of Hyponatremia Correction on the Risk for 30-Day Readmission and Death in Patients with Congestive Heart Failure

  The study objective was to compare the 30-day readmission rate and mortality between patients with heart failure who have persistent hyponatremia during hospitalization and patients who have their admission hyponatremia corrected before discharge. Methods This large retrospective cohort study included all adult patients admitted with a diagnosis of congestive heart failure to a tertiary-care […]

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man holding chest and woman offering him water

To Supplement or Not: A Role for Antioxidant Vitamins in the Management of Heart Failure?

  There is an epidemic of heart failure occurring in advanced industrial nations. The number one diagnosis for payment by Medicare in the US is heart failure. Because heart failure is increasingly prevalent among the elderly, and because the population of individuals older than age 65 years is increasing rapidly in the US, patients with […]

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Biomarkers for Heart Failure: An Update for Practitioners of Internal Medicine

Abstract Biomarkers have become an integral part of practicing medicine, especially in heart failure. The natriuretic peptides are commonly used in the evaluation of heart failure, but their role extends beyond diagnosis and includes risk stratification and management of heart failure patients. Newer biomarkers have arrived and are becoming part of routine care of heart […]

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Dr. Joseph S. Alpert

Heart Failure with Preserved Ejection Fraction (video)

Heart failure is usually broken down into two categories: heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF). Hospitalizations for both are comparable, but HFpEF hospitalizations are expected to increase in the future. Consequently, there is a need for better treatments for HFpEF patients. In this video, AJM Editor-in-chief […]

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