1 / 27

Regionala medicinska programgruppen

Regionala medicinska programgruppen. Hjärtsvikt. Kort genomgång av aktualiteter. Kronisk hjärtsvikt Uppdaterat PM Paradigm CRT/ICD Heartmate Consensus vid övertagning Kardiomyopati Hypertrof Etanolablation Non compaction Diagnostik Peripartum Europeiska registret.

ciaran-wolf
Download Presentation

Regionala medicinska programgruppen

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Regionala medicinska programgruppen Hjärtsvikt

  2. Kort genomgång av aktualiteter • Kronisk hjärtsvikt • Uppdaterat PM • Paradigm • CRT/ICD • Heartmate • Consensus vid övertagning • Kardiomyopati • Hypertrof • Etanolablation • Non compaction • Diagnostik • Peripartum • Europeiska registret

  3. Behandling av kronisk hjärtsvikt vid kardiologiska kliniken • Uppdateringar • Resonemang om • mekanismer • måldoser/målvärden • järnterapi • vätskekarens

  4. PARADIGM PARADIGM-HF is a randomized, double-blind, Phase III outcome study evaluating the efficacy and safety profile of LCZ696 versus enalaprilin 8,436 patients with heart failure with reduced ejection fraction

  5. Paradigm forts The primary outcome is a composite of time to first occurrence of either cardiovascular death or heart failure hospitalization, and the trial is also designed to be able to detect a significant difference in cardiovascular death

  6. Paradigm forts Data Monitoring Committee (DMC) unanimously recommends early closure confirming combined primary endpoint met - LCZ696 delayed cardiovascular death and reduced heart failure hospitalizations vs. enalapril

  7. CRT/ICD • Försök till mera strukturerad optimering av CRT • Följa guidelines för ICD – vi har nog underutnyttjat metoden

  8. Heartmate

  9. Heartmate, forts • Används redan som destinationsterapi i Sverige • Svensk studie på g

  10. Heartmate forts

  11. Gravt hjärtsviktande patienter i regionen – internt mail

  12. Alkoholablation (PTSMA) Percutaneous transluminal septal myocardial ablation, PTSMA

  13. Alkoholablation - indikationer • NYHA klass III-IV trots optimal medicinsk behandling • Utflödesgradient i vila eller arbete ≥ 50 mmHg • Septumstjocklek ≥18 mm

  14. Multidiciplinärt!

  15. PTSMA – resultat- maj 20148 patienter

More Related