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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...

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Autores principales: Okeahialam, Basil N., Ikeme, Alfred C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
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.
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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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