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Heart Failure with Recovered Ejection Fraction: Report of a Case in Jos, Nigeria
Some patients in heart failure (HF) are able to withstand treatment, recover ejection fraction (EF) enough to require little or no further treatment. They belong to the distinct entity now called HF with recovered EF where patients start as HF with reduced EF and with treatment end up as HF with mid...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113813/ https://www.ncbi.nlm.nih.gov/pubmed/32317822 http://dx.doi.org/10.4103/nmj.NMJ_294_16 |
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author | Okeahialam, Basil N. Ikeme, Alfred C. |
author_facet | Okeahialam, Basil N. Ikeme, Alfred C. |
author_sort | Okeahialam, Basil N. |
collection | PubMed |
description | Some patients in heart failure (HF) are able to withstand treatment, recover ejection fraction (EF) enough to require little or no further treatment. They belong to the distinct entity now called HF with recovered EF where patients start as HF with reduced EF and with treatment end up as HF with mid-range EF or even HF with preserved EF. This case report is on one such patient who presented in HF with features of dilated cardiomyopathy. With treatment, he promptly came out of HF, and myocardium remodeled toward recovery of function, which also reflected on electrocardiographic voltages. He remained out of failure despite deescalation of anti-failure regimen. Characterizing this group well will permit a paradigm shift in the management of HF; with the understanding that the myocardium can recover function or go into remission depending on underlying pathology. |
format | Online Article Text |
id | pubmed-7113813 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-71138132020-04-21 Heart Failure with Recovered Ejection Fraction: Report of a Case in Jos, Nigeria Okeahialam, Basil N. Ikeme, Alfred C. Niger Med J Case Report Some patients in heart failure (HF) are able to withstand treatment, recover ejection fraction (EF) enough to require little or no further treatment. They belong to the distinct entity now called HF with recovered EF where patients start as HF with reduced EF and with treatment end up as HF with mid-range EF or even HF with preserved EF. This case report is on one such patient who presented in HF with features of dilated cardiomyopathy. With treatment, he promptly came out of HF, and myocardium remodeled toward recovery of function, which also reflected on electrocardiographic voltages. He remained out of failure despite deescalation of anti-failure regimen. Characterizing this group well will permit a paradigm shift in the management of HF; with the understanding that the myocardium can recover function or go into remission depending on underlying pathology. Wolters Kluwer - Medknow 2020 2020-03-02 /pmc/articles/PMC7113813/ /pubmed/32317822 http://dx.doi.org/10.4103/nmj.NMJ_294_16 Text en Copyright: © 2020 Nigerian Medical Journal http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Okeahialam, Basil N. Ikeme, Alfred C. Heart Failure with Recovered Ejection Fraction: Report of a Case in Jos, Nigeria |
title | Heart Failure with Recovered Ejection Fraction: Report of a Case in Jos, Nigeria |
title_full | Heart Failure with Recovered Ejection Fraction: Report of a Case in Jos, Nigeria |
title_fullStr | Heart Failure with Recovered Ejection Fraction: Report of a Case in Jos, Nigeria |
title_full_unstemmed | Heart Failure with Recovered Ejection Fraction: Report of a Case in Jos, Nigeria |
title_short | Heart Failure with Recovered Ejection Fraction: Report of a Case in Jos, Nigeria |
title_sort | heart failure with recovered ejection fraction: report of a case in jos, nigeria |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113813/ https://www.ncbi.nlm.nih.gov/pubmed/32317822 http://dx.doi.org/10.4103/nmj.NMJ_294_16 |
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