Journal of Cardiac Failure
Volume 17, Issue 4 , Pages 282-291 , April 2011

Hemodynamic Factors Associated With Acute Decompensated Heart Failure: Part 1—Insights into Pathophysiology

  • Michael R. Zile, MD

      Affiliations

    • Medical University of South Carolina and RHJ Department of Veterans Affairs Medical Center, Charleston, South Carolina
    • Corresponding Author InformationReprint requests: Michael R. Zile, MD, Division of Cardiology, Medical University of South Carolina, Ashley River Towers, Room 7042, 25 Courtenay Drive, Charleston, SC 29425. Tel: 843-792-6866; Fax: 843-792-7771.
  • ,
  • Philip B. Adamson, MD

      Affiliations

    • Oklahoma Foundation for Cardiovascular Research, Oklahoma Heart Hospital, Oklahoma City, Oklahoma
  • ,
  • Yong K. Cho, PhD

      Affiliations

    • Medtronic, Minneapolis, Minnesota
  • ,
  • Tom D. Bennett, PhD

      Affiliations

    • Medtronic, Minneapolis, Minnesota
  • ,
  • Robert C. Bourge, MD

      Affiliations

    • University of Alabama, Birmingham, Alabama
  • ,
  • Mark F. Aaron, MD

      Affiliations

    • St Thomas Hospital, Nashville, Tennessee
  • ,
  • Juan M. Aranda Jr., MD

      Affiliations

    • University of Florida, Gainesville, Florida
  • ,
  • William T. Abraham, MD

      Affiliations

    • Ohio State University, Columbus, Ohio
  • ,
  • Lynne Warner Stevenson, MD

      Affiliations

    • Brigham and Women’s Hospital, Boston, Massachusetts
  • ,
  • Fred J. Kueffer, MS

      Affiliations

    • Medtronic, Minneapolis, Minnesota

Received 28 July 2010 ,Revised 24 January 2011 ,Accepted 28 January 2011.

References 

  1. Little RC, Ginsburg JM. The physiologic basis for clinical edema. Arch Intern Med. 1984;144:1661–1664
  2. Little RC, Little WC. Physiology of the Heart and Circulation. Chicago: Year Book Medical; 1989;291–2
  3. Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG, et al. Focused update: ACCF/AHA guidelines for the diagnosis and management of heart failure in adults. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. Published online March 26, 2009.
  4. Binanay C, Califf RM, Hasselblad V, O’Connor CM, Shah MR, Sopko G, et al. ESCAPE Investigators, ESCAPE Study Coordinators. Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial. JAMA. 2005;294:1625–1633
  5. European Society of Cardiology, Heart Failure Association of the ESC (HFA), European Society of Intensive Care Medicine (ESICM)Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur J Heart Fail. 2008;10:933–989
  6. Paulus WJ, Tschöpe C, Sanderson JE, Rusconi C, Flachskampf FA, Rademakers FE, et al. How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology. Eur Heart J. 2007;20:2539–2550
  7. Zile MR, Bennett TD, St. John Sutton M, Cho YK, Adamson PB, Aaron MF, et al. Transition from chronic compensated to acute decompensated heart failure: pathophysiological insights obtained from continuous monitoring of intracardiac pressures. Circulation. 2008;118:1433–1441
  8. Bourge RC, Abraham WT, Adamson PB, Aaron MF, Aranda JM, Magalski A, et al. Randomized controlled trial of an implantable hemodynamic monitor in advanced heart failure: the Chronicle Implantable Hemodynamic Monitor Offers Management to Patients With Advanced Signs and Symptoms of Heart Failure (COMPASS-HF) trial. J Am Coll Cardiol. 2008;51:1073–1079
  9. Adamson PB, Magalski A, Braunschweig F, Böhm M, Reynolds D, Steinhaus D, et al Ongoing right ventricular hemodynamics in heart failure: clinical value of measurements derived from an implantable monitoring system. J Am Coll Cardiol. 2003;41:565–571
  10. Ohlsson A, Steinhaus D, Kjellström B, Ryden L, Bennett T. Central hemodynamic responses during serial exercise tests in heart failure patients using implantable hemodynamic monitors. Eur J Heart Fail. 2003;5:253–259
  11. Adamson PB, Kjellström B, Braunschweig F, Magalski A, Linde C, Kolodiezj A, et al. Ambulatory hemodynamic monitoring from an implanted device: components of continuous 24-hour pressures that correlate to supine resting conditions and acute right heart catheterization. Congest Heart Fail. 2006;12:14–19
  12. In:  Rowell LB editors. Adjustments to upright posture and blood loss; in:human circulation: regulation during physical stress. New York: Oxford University Press; 1986;p. 137–173
  13. Steinhaus DM, Lemery R, Bresnahan DR, Handlin L, Bennett T, Moore A, et al. Initial experience with an implantable hemodynamic monitor. Circulation. 1996;93:745–752
  14. Magalski A, Adamson P, Gadler F, Böhm M, Steinhaus D, Reynolds D, et al. Continuous ambulatory right heart pressure measurements with an implantable hemodynamic monitor: a multicenter 12-month follow-up study of patients with chronic heart failure. J Card Fail. 2002;8:63–70
  15. Ohlsson Å, Kubo SH, Steinhaus D, Connelly DT, Adler S, Bitkover C, et al. Continuous ambulatory monitoring of absolute right ventricular pressure and mixed venous oxygen saturation in patients with heart failure using and implantable haemodynamic monitor: results of a 1 year multicentre feasibility study. Eur Heart J. 2001;22:942–954
  16. Braunschweig F, Linde C, Eriksson MJ, Hofman-Bang C, Rydén L. Continuous hemodynamic monitoring during withdrawal of diuretics in patients with congestive heart failure. Eur Heart J. 2002;23:59–69
  17. Reynolds DW, Bartelt N, Taepke R, Bennett TD. Measurement of pulmonary artery diastolic pressure from the right ventricle. J Am Coll Cardiol. 1995;25:1176–1182
  18. Ohlsson A, Bennett T, Nordlander R, Rydén J, Astrom J, Rydén L. Monitoring of pulmonary arterial diastolic pressure through a right ventricular pressure transducer. J Card Fail. 1995;1:161–168
  19. Chuang PP, Wilson RF, Homans DC, Stone K, Bergman T, Bennett TD, et al. Measurement of pulmonary artery diastolic pressure from a right ventricular pressure transducer in patients with heart failure. J Card Fail. 1996;2:41–46
  20. Walser M. Assessing renal function from creatinine measurements in adults with chronic renal failure. Am J Kidney Dis. 1998;32:23–31
  21. Poggio ED, Wang X, Greene T, van Lente F, Hall PM. Performance of the modification of diet in renal disease and Cockcroft-Gault equations in the estimation of GFR in health and in chronic kidney disease. J Am Soc Nephrol. 2005;16:459–466
  22. Aaron MF, Aranda JM, Renlund DG, Fonarow GC, Feldman DS, Cho YK, et al. The effects of postural changes on intracardiac filling pressures. [abstract] J Card Fail. 2008;14:S28
  23. Damman K, van Deursen VM, Navis G, Voors AA, van Veldhuisen DJ, Hillege HL. Increased central venous pressure is associated with impaired renal function and mortality in a broad spectrum of patients with cardiovascular disease. J Am Coll Cardiol. 2009;53:582–588
  24. Mullens W, Abrahams Z, Francis GS, Sokos G, Taylor DO, Starling RC, et al. Importance of venous congestion for worsening of renal function in advanced decompensated heart failure. J Am Coll Cardiol. 2009;53:589–596
  25. Jessup M, Costanzo MR. The cardiorenal syndrome: do we need a change of strategy or a change of tactics?. J Am Coll Cardiol. 2009;53:597–599
  26. Gaasch WH, Delorey DE, St. John Sutton MG, Zile MR. Patterns of structural and functional remodeling of the left ventricle in chronic heart failure. Am J Cardiol. 2008;102:459–462
  27. Quiñones MA, Zile MR, Massie BM, Kass DA. Writing Committee of the Dartmouth Diastolic Discourses. Chronic heart failure: a report from the Dartmouth Diastole Discourses. Congest Heart Fail. 2006;12:162–165
  28. Aurigemma GP, Zile MR, Gaasch WH. Contractile behavior of the left ventricle in diastolic heart failure: with emphasis on regional systolic function. Circulation. 2006;113:296–304
  29. Baicu CF, Zile MR, Aurigemma GP, Gaasch WH. Left ventricular systolic performance, function, and contractility in patients with diastolic heart failure. Circulation. 2005;111:2306–2312
  30. Aurigemma GP, Gaasch WH. Diastolic heart failure. N Engl J Med. 2004;351:1097–1105

 Funding: Supported by Medtronic, Minneapolis, Minnesota.

 Study registration: ClinicalTrials.gov identifier NCT00643279.

 See page 290 for disclosure information.

PII: S1071-9164(11)00025-X

doi: 10.1016/j.cardfail.2011.01.010

Journal of Cardiac Failure
Volume 17, Issue 4 , Pages 282-291 , April 2011