0000000000861473

AUTHOR

Kozhuharov Nikola

0000-0003-2086-3690

showing 2 related works from this author

Effect of a Strategy of Comprehensive Vasodilation vs Usual Care on Mortality and Heart Failure Rehospitalization Among Patients With Acute Heart Fai…

2019

Importance Short-term infusions of single vasodilators, usually given in a fixed dose, have not improved outcomes in patients with acute heart failure (AHF). Objective To evaluate the effect of a strategy that emphasized early intensive and sustained vasodilation using individualized up-titrated doses of established vasodilators in patients with AHF. Design, Setting, and Participants Randomized, open-label blinded-end-point trial enrolling 788 patients hospitalized for AHF with dyspnea, increased plasma concentrations of natriuretic peptides, systolic blood pressure of at least 100 mm Hg, and plan for treatment in a general ward in 10 tertiary and secondary hospitals in Switzerland, Bulgari…

Malemedicine.medical_specialtyVasodilator AgentsComorbidityPatient Readmission01 natural sciencesDrug Administration Schedulelaw.invention03 medical and health sciences0302 clinical medicineRandomized controlled triallawCause of DeathInternal medicineClinical endpointHumansMedicine030212 general & internal medicine0101 mathematicsAdverse effectAgedCause of deathAged 80 and overHeart Failurebusiness.industry010102 general mathematicsHazard ratioGeneral Medicinemedicine.diseaseHospitalizationBlood pressureHeart failureAcute DiseaseFemalebusinessSacubitril ValsartanJAMA
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Discordance in prognostic ability between physician assessed NYHA classification and self-reported health status in patients with acute heart failure

2021

Abstract Background Especially in patients with acute heart failure (AHF) the NYHA classification remains of uncertain representation of patients' actual health state. Alternatively, patient's subjective well-being, in terms of health-related quality of life (HRQL), showed to have an excellent prognostic ability in out clinic patients with chronic heart failure. Objectives It is unknown whether HRQL instruments can assess a more reliable prognostication in patients hospitalized due to AHF than the NYHA classification. Methods Goal Directed Afterload Reduction in Acute Congestive Cardiac Decompensation Study (GALACTIC) was a multicenter, randomized, open-label blinded-end-point trial that em…

medicine.medical_specialtybusiness.industryInternal medicineHeart failureNYHA classificationMedicineIn patientCardiology and Cardiovascular Medicinebusinessmedicine.diseaseEuropean Heart Journal
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