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 Dept University Heart Center University Heart Center Zurich/ /Switzerland Switzerland Zurich President-elect HFA HFA President-elect

2 www.escardio.org/guidelines

“It ought to be remembered that there is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things.” Niccolò Machiavelli The Prince. 1513

Therapeutic algorithm for a patient with symptomatic HF with reduced ejection fraction. www.escardio.org/guidelines Ponikowski et al., EHJ and EJHF 2016 (in press)

Recommendations for cardiac resynchronization therapy implantation in patients with heart failure www.escardio.org/guidelines Ponikowski et al., EHJ and EJHF 2016 (in press)

CRT: Live Saving Therapy in Wide QRS CARE-HF EchoCRT Cleland J, et al. NEJM 2005 Ruschitzka F., et al. NEJM 2013

Primary Outcome Events, stratified by QRS Duration in EchoCRT Steffel EHJ 2015

The „QRS“ Sweet Spot for CRT Cleland EHJ 2013

The Do`s and Don`ts of CRT NO Yes Ruschitzka HFA 2016 mod. Cleland EHJ 2013 /

The Do`s and Don`ts of CRT NO Yes Ruschitzka HFA 2016 mod. Cleland EHJ 2013 /

The Do`s and Don`ts of CRT NO Yes LBB morphology Non- LBB morphology Ruschitzka HFA 2016 mod. Cleland EHJ 2013 /

Recommendations for cardiac resynchronization therapy implantation in patients with heart failure www.escardio.org/guidelines Ponikowski et al., EHJ and EJHF 2016 (in press)

Recommendations for implantable cardioverter- defibrillator in patients with heart failure www.escardio.org/guidelines Ponikowski et al., EHJ and EJHF 2016 (in press)

Recommendations for multidisciplinary management and monitoring of patients with heart failure www.escardio.org/guidelines Ponikowski et al., EHJ and EJHF 2016 (in press)

Recommendations for implantation of mechanical circulatory support in patients with refractory HF www.escardio.org/guidelines

Heart transplantation: indications & contra- indications www.escardio.org/guidelines Ponikowski et al., EHJ and EJHF 2016 (in press)

Recommendations regarding renal replacement therapy in patients with acute heart failure www.escardio.org/guidelines

www.escardio.org/guidelines Ponikowski et al., EHJ and EJHF 2016 (in press)

Bridging the Great Divide: A Step towards Harmonizing Guidelines

Merci Frank Ruschitzka, MD, FRCP Professor and and Co-Head Co-Head of of Cardiology Cardiology Professor University Heart Center Heart Center University Zürich, Switzerland Switzerland Zürich, President-elect ESC-HFA E-mail: frank.ruschitzka@usz.ch