Korean J Intern Med.  2019 Jan;34(1):11-43. 10.3904/kjim.2018.428.

Update on heart failure management and future directions

Affiliations
  • 1Division of Cardiology, Hallym University Sacred Heart Hospital, Anyang, Korea.
  • 2Division of Cardiology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea. jong.chan.youn@gmail.com

Abstract

Heart failure (HF) is an important cardiovascular disease because of its increasing prevalence, significant morbidity, high mortality, and rapidly expanding health care cost. The number of HF patients is increasing worldwide, and Korea is no exception. There have been marked advances in definition, diagnostic modalities, and treatment of HF over the past four decades. There is continuing effort to improve risk stratification of HF using biomarkers, imaging and genetic testing. Newly developed medications and devices for HF have been widely adopted in clinical practice. Furthermore, definitive treatment for end-stage heart failure including left ventricular assist device and heart transplantation are rapidly evolving as well. This review summarizes the current state-of-the-art management for HF and the emerging diagnostic and therapeutic modalities to improve the outcome of HF patients.

Keyword

Heart failure; Diagnosis; Management; Prognosis

MeSH Terms

Biomarkers
Cardiovascular Diseases
Diagnosis
Genetic Testing
Health Care Costs
Heart Failure*
Heart Transplantation
Heart*
Heart-Assist Devices
Humans
Korea
Mortality
Prevalence
Prognosis
Biomarkers
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