2016 Update to Heart Failure Clinical Practice Guidelines

2016 Update to Heart Failure Clinical Practice Guidelines

Tuesday August 2, 2016 1:00pm ? 2:00pm CST (60 minute webinar)

Presenters: Dr. Gregg Fonarow, MD, FACC, FAHA, FHFSA Dr. Clyde Yancy, MD, MSc, MACC, FAHA, MACP Dr. Paul Heidenreich, MD, MS, FACC

8/2/2016

Clyde W. Yancy, MD, MSc, MACC, FAHA, MACP

Vice Dean, Diversity & Inclusion Magerstadt Professor of Medicine Professor of Medical Social Sciences Chief, Division of Cardiology Northwestern University, Feinberg School of Medicine Associate Director, Bluhm Cardiovascular Institute

Gregg C. Fonarow, MD, FACC, FAHA

The Eliot Corday Professor of Cardiovascular Medicine and Science Co-Chief of Clinical Cardiology UCLA Division of Cardiology Director, Ahmanson-UCLA Cardiomyopathy Center Co-Director, UCLA Preventative Cardiology Program

Paul A Heidenreich, MD, MS,

FACC

Associate Professor of Medicine

Vice-Chair for Clinical, Quality and Analytics, Department of Medicine

Stanford University

?2013, American Heart Associa2tion

2016 Update to Heart Failure Clinical Practice Guidelines

? New Epidemiology ? New Therapies ? New Guidelines ? New Phenotype

From: A Contemporary Appraisal of the Heart Failure Epidemic in Olmsted County, Minnesota, 2000 to 2010 JAMA Intern Med. 2015;175(6):996-1004. doi:10.1001/jamainternmed.2015.0924

Figure Legend:

Temporal Trends in Heart Failure Incidence Rates Overall and by Reduced or Preserved Ejection Fraction Among Women and Men in Olmsted County, Minnesota, 2000 to 2010Yearly rates (smoothed using 3-year moving average) per 100 000 persons have been standardized by the direct method to the age distribution of the US population in 2010. HFpEF indicates heart failure with preserved ejection fraction; HFrEF, heart failure with reduced ejection fraction.

Copyright ? 2016 American Medical

Date of download: 6/10/2016

Association. All rights reserved.

A Contemporary Appraisal of the HF Epidemic

? Age and sex-specific incidence of heart failure has declined ? 315/100,000 to 219/100,000

? Rate reduction of 37.5% ? Incidence decline was greater for HFrEF ? 45.1% vs. HFpEF -27.9% ? Risk for CV death was lower for HFpEF but the same for non-CV death ? Hospitalizations have increased 34% ? Most hospitalizations, 63%, were due to non-cardiovascular causes

? Thus today's epidemic of heart failure is defined by a marked increase in

hospitalizations, predominance of non-CV death rate, and persistence and

predominance of HFpEF

Roger VL et al. JAMA Intern Med. 2015; April 20. Epub ahead of print.

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