Safety and efficacy of nesiritide for acute decompensated heart failure: recent literature and upcoming trials.

Abstract:

:Congestive heart failure is increasing in prevalence in the United States, and associated morbidity and mortality remain high. Aggressive treatment of decompensated heart failure is associated with improved outcomes; however, therapies must be tailored to the presenting characteristics of each patient and most carry a risk of adverse events stemming from the pharmaceutical itself. Nesiritide is approved for the treatment of acutely decompensated heart failure, but aggregate data analysis has suggested that it may be associated with a risk of excess mortality and worsening renal insufficiency. We review the recent evidence regarding the efficacy and safety profile of nesiritide, and discuss upcoming trials designed to address concerns regarding safety and the comparative efficacy of nesiritide.

journal_name

Curr Cardiol Rep

authors

Hiestand B,Abraham WT

doi

10.1007/BF02938348

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

182-6

issue

3

eissn

1523-3782

issn

1534-3170

journal_volume

9

pub_type

杂志文章,评审
  • Eplerenone: will it have a role in the treatment of acute coronary syndromes?

    abstract::Aldosterone is known to have multiple adverse cardiovascular effects that are reminiscent of but independent from angiotensin II. These effects include endothelial dysfunction, heightened thrombogenicity, inflammation, and reparative fibrosis, and have been described in experimental and human models of aldosterone exc...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-004-0073-0

    authors: Meier DJ,Pitt B,Rajagopalan S

    更新日期:2004-07-01 00:00:00

  • The Role of MRI in Prognostic Stratification of Cardiomyopathies.

    abstract:PURPOSE OF THE REVIEW:The aim of this review was to discuss the role of cardiac magnetic resonance (CMR) for the prognostic stratification of cardiomyopathies, highlighting strengths and limitations. RECENT FINDINGS:CMR is considered as a diagnostic pillar in the management of non-ischemic cardiomyopathies. Over the l...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-020-01311-3

    authors: Grigoratos C,Todiere G,Barison A,Aquaro GD

    更新日期:2020-06-19 00:00:00

  • Should Angiotensin-Converting Enzyme Inhibitors ever Be Used for the Management of Hypertension?

    abstract:PURPOSE OF REVIEW:Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers are commonly used anti-hypertensive medications in a number of clinical settings. They are often used interchangeably, but we pose the provocative question as to whether they should be. We review the literature to evaluate for ...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-020-01352-8

    authors: Turner JM,Kodali R

    更新日期:2020-07-09 00:00:00

  • Cardiac resynchronization therapy in mild heart failure: a review of the REVERSE and MADIT-CRT trials.

    abstract::Cardiac resynchronization therapy has become part of the treatment strategy for advanced, symptomatic heart failure, but newly published trials show that more patients than previously realized may benefit from this therapy, including those with mild heart failure symptoms. The REVERSE and MADIT-CRT trials showed that ...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-010-0125-6

    authors: Reynolds CR,Gold MR

    更新日期:2010-09-01 00:00:00

  • Selective or nonselective beta-adrenergic blockade in patients with congestive heart failure.

    abstract::Controlled clinical trials, performed in more than 13,000 patients, have consistently shown the beneficial effects of long-term beta-blocker therapy in patients with chronic heart failure. However, it is not clear whether this is a class effect or if it is specific only for some agents. Beneficial effects on the progn...

    journal_title:Current cardiology reports

    pub_type: 杂志文章

    doi:10.1007/s11886-000-0076-4

    authors: Metra M,Nodari S,Boldi E,Dei Cas L

    更新日期:2000-05-01 00:00:00

  • Which antithrombin for whom? Identifying the patient population that benefits most from novel antithrombin agents.

    abstract::Anticoagulation has proven to be a key component in the management of acute coronary syndromes (ACS). Pharmacological agents with various modes of action are utilized to reduce thrombus development by impairing thrombin formation, platelet activation, and platelet aggregation. The optimal management of these patients ...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-012-0286-6

    authors: Burke DA,Warraich HJ,Pinto DS

    更新日期:2012-08-01 00:00:00

  • Shared Decision-Making and Patient Empowerment in Preventive Cardiology.

    abstract::Shared decision-making, central to evidence-based medicine and good patient care, begins and ends with the patient. It is the process by which a clinician and a patient jointly make a health decision after discussing options, potential benefits and harms, and considering the patient's values and preferences. Patient e...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-016-0729-6

    authors: Kambhampati S,Ashvetiya T,Stone NJ,Blumenthal RS,Martin SS

    更新日期:2016-05-01 00:00:00

  • Management of Hypertension in Children and Adolescents.

    abstract::Hypertension in children and adolescents is becoming a greater problem in the developed world. Although traditionally thought of as usually secondary to renal, vascular, or endocrine causes, primary hypertension is becoming the most common form seen in childhood. This changing epidemiology is related to the recent obe...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-015-0661-1

    authors: Samuels J,Bell C,Samuel J,Swinford R

    更新日期:2015-12-01 00:00:00

  • 25 by 25: Achieving Global Reduction in Cardiovascular Mortality.

    abstract::Four non-communicable diseases-cardiovascular disease, chronic respiratory disease, diabetes mellitus, and cancer-account for over 60 % of all deaths globally. In recognition of this significant epidemic, the United Nations set forth a target of reducing the four major NCDs by 25 % by 2025. Cardiovascular disease alon...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-015-0679-4

    authors: Dugani S,Gaziano TA

    更新日期:2016-01-01 00:00:00

  • Rationale and Current Evidence for Testing Iron Chelators for Treating Stroke.

    abstract:PURPOSE OF REVIEW:To discuss the mechanisms of iron regulation in the brain and the pathophysiological role of deregulation of iron homeostasis following a stroke, and to review existing evidence supporting the potential role of iron chelators in the treatment of ischemic and hemorrhagic stroke. RECENT FINDINGS:In rec...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-019-1106-z

    authors: Hanafy KA,Gomes JA,Selim M

    更新日期:2019-03-04 00:00:00

  • SYNTAX Score and Outcomes of Coronary Revascularization in Diabetic Patients.

    abstract:PURPOSE OF REVIEW:This review describes the dynamic relationship between diabetes mellitus (DM) and coronary artery disease (CAD) with respect to different revascularization strategies and how angiographic tools such as the Synergy between PCI with Taxus and Cardiac Surgery (SYNTAX) score can supplement clinical decisi...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-018-0971-1

    authors: Kundu A,Sardar P,O'Day K,Chatterjee S,Owan T,Dawn Abbott J

    更新日期:2018-03-23 00:00:00

  • What have we learned about plaque rupture in acute coronary syndromes?

    abstract::The most common cause of acute coronary syndrome (ACS) is rupture of an atherosclerotic lesion containing a large necrotic core and a thin fibrous cap followed by acute luminal thrombosis because the rupture of the thin fibrous cap allows contact of the platelets with the highly thrombogenic necrotic core. Pathologic ...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-010-0113-x

    authors: Choi SY,Mintz GS

    更新日期:2010-07-01 00:00:00

  • Fibrinolytic function and coronary risk.

    abstract::Plasminogen activation potential in the blood is controlled by an equilibrium between plasminogen activators, mainly tissue-type plasminogen activator (t-PA), and inhibitors, mainly plasminogen activator inhibitor (PAI)-1. In cardiovascular practice, imbalance of this fibrinolytic potential is encountered primarily in...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-999-0069-x

    authors: Juhan-Vague I,Morange P,Christine Alessi M

    更新日期:1999-07-01 00:00:00

  • Aortic valve disease: current recommendations.

    abstract::Aortic stenosis is a common valvular abnormality. Surgical valve replacement is the standard of care for symptomatic patients with severe aortic stenosis and is appropriate for certain asymptomatic patients. Statin therapy may slow progression of the disease. Contrary to conventional wisdom, vasodilator therapy may in...

    journal_title:Current cardiology reports

    pub_type: 杂志文章

    doi:10.1007/s11886-004-0004-0

    authors: Botkin NF,Aurigemma GP

    更新日期:2004-03-01 00:00:00

  • Treatment of Functional Mitral Regurgitation in Heart Failure.

    abstract:PURPOSE OF REVIEW:To analyze the current state of the art of functional mitral regurgitation (FMR) treatment. RECENT FINDINGS:The first-line treatment of severe FMR consists of guideline medical therapy (GMT) and resynchronization therapy when indicated; the impact of new medical therapies like sacubitril/valsartan ne...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-019-1221-x

    authors: Fabris E,De Luca A,Vitrella G,Stolfo D,Masè M,Korcova R,Merlo M,Rakar S,Van't Hof AWJ,Kedhi E,Perkan A,Sinagra G

    更新日期:2019-11-16 00:00:00

  • Nontransplant surgical options for congestive heart failure.

    abstract::Although advanced heart failure has been considered the main indication for heart transplantation, the increasing number of candidates and shortage of organs for transplantation, with accumulating waiting lists, has originated another look into more conventional surgery, previously considered of prohibitive risk. In f...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-004-0028-5

    authors: Ferrão de Oliveira J,Antunes MJ

    更新日期:2004-05-01 00:00:00

  • Cardiac Sympathetic Innervation Imaging with PET Radiotracers.

    abstract:PURPOSE OF REVIEW:The present article reviews the pathophysiology of cardiac sympathetic denervation, the principles of positron emission tomography (PET) imaging of the sympathetic innervation of the heart and its potential clinical role, based on current and expected future evidence. RECENT FINDINGS:Imaging of cardi...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-020-01432-9

    authors: van der Bijl P,Knuuti J,Delgado V,Bax JJ

    更新日期:2020-11-27 00:00:00

  • Translating heart failure guidelines into clinical practice: clinical science and the art of medicine.

    abstract::The rapid growth of medical knowledge during the past few decades has created many potential advances in the therapeutics of chronic disease, and cardiovascular disease has been at the center of this phenomenon. Translation of these advances into everyday care of patients with chronic disease continues to be problemat...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-001-0039-4

    authors: Adams KF

    更新日期:2001-03-01 00:00:00

  • Telestroke.

    abstract:PURPOSE OF REVIEW:This study aims to describe the current state of telestroke clinical applications and policies, in addition to key technical and operational aspects of the telemedicine practice. RECENT FINDINGS:Delivery of telestroke services for neurovascular care expanded from the intravenous alteplase decision an...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-017-0895-1

    authors: Dumitrascu OM,Demaerschalk BM

    更新日期:2017-09-01 00:00:00

  • Biventricular Conversion in the Borderline Hypoplastic Heart.

    abstract:PURPOSE OF REVIEW:The development of biventricular repair and conversion pathways for patients with borderline hypoplastic heart disease represents an area of recent inquiry and innovation. This review summarizes emerging techniques and novel treatment algorithms for borderline hypoplastic heart disease with a focus on...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-020-01363-5

    authors: Andersen ND,Scherba JC,Turek JW

    更新日期:2020-08-08 00:00:00

  • Role of antithrombotic agents in heart failure.

    abstract::Despite a vast body of research on antithrombotic therapy for patients with cardiac disease, there are few clinical settings where robust evidence of their benefit exists. Patients with heart failure often have vascular disease and atrial fibrillation contributing to their poor prognosis. For patients with heart failu...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-012-0266-x

    authors: Cleland JG,Mumtaz S,Cecchini L

    更新日期:2012-06-01 00:00:00

  • TAVR in Patients with Pure Aortic Regurgitation: Ready to Use?

    abstract:PURPOSE OF THE REVIEW:Moderate or severe aortic regurgitation (AR) occurs in 0.5% of the population and typically peaks in the fourth to sixth decade of life. A significant proportion of patients have prohibitive surgical risk and are therefore treated medically with pharmacological management of heart failure and no d...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-020-01338-6

    authors: Markham R,Ghodsian M,Sharma R

    更新日期:2020-07-28 00:00:00

  • Acute coronary syndrome in the patient with diabetes: is the management different?

    abstract::Diabetic patients who present with an acute coronary syndrome (ACS) have a particularly adverse prognosis, largely contributed by increased platelet reactivity and higher burden of disease severity. Diabetic patients with ACS derive a greater benefit from established therapies, particularly platelet-inhibiting therapi...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-010-0118-5

    authors: Amin AP,Marso SP

    更新日期:2010-07-01 00:00:00

  • Is too much neurohormonal blockade harmful?

    abstract::A number of neurohormones and cytokines are activated in heart failure and their activity is related to the progression of heart failure. Inhibiting the deleterious effects of the activated sympathetic and the renin-angiotensin-aldosterone systems with b-blockers, angiotensin-converting enzyme inhibitors, and aldoster...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-004-0019-6

    authors: Anand IS

    更新日期:2004-05-01 00:00:00

  • Heart Transplantation and Mechanical Circulatory Support in Adults with Congenital Heart Disease.

    abstract:PURPOSE OF REVIEW:To assess current management strategies for advanced heart failure in adults with congenital heart disease, including heart transplantation and mechanical circulatory support. RECENT FINDINGS:Current data demonstrate that adults with CHD generally experience higher short-term mortality after heart tr...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-018-1028-1

    authors: Serfas JD,Patel PA,Krasuski RA

    更新日期:2018-08-09 00:00:00

  • Genetic determinants of drug response in heart failure.

    abstract::Heart failure management is complex and costly. Genetic variations that alter drug absorption, metabolism, and receptor-ligand interactions have the potential to modify drug response and safety. Evidence shows that genetic factors interact with numerous heart failure medications, including vasodilators, beta blockers,...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-008-0031-3

    authors: Lowes BD,Buttrick PM

    更新日期:2008-05-01 00:00:00

  • Correction to: Cardiac Contractility Modulation: an Important Therapy in the Treatment of Advanced Heart Failure.

    abstract::The article title in the original publication contains a mistake. ...

    journal_title:Current cardiology reports

    pub_type: 已发布勘误

    doi:10.1007/s11886-020-01403-0

    authors: Edelson JB,Genuardi MV,Santangeli P,Birati EY

    更新日期:2020-09-08 00:00:00

  • Catheter ablation of ventricular tachycardia in patients with ischemic heart disease.

    abstract::Radiofrequency ablation is a valuable adjunctive therapy to implantable defibrillators in patients with recurrent monomorphic ventricular tachycardia (VT) after myocardial infarction. Episodes of VT are markedly reduced in most patients, and the major complications are less than 5%. Newer approaches allow successful a...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-003-0092-2

    authors: Soejima K,Stevenson WG

    更新日期:2003-09-01 00:00:00

  • Revascularization for patients with severe coronary artery disease and left ventricular dysfunction.

    abstract::Heart failure is becoming increasingly prevalent, and currently coronary artery disease (CAD) is the primary cause of left ventricular (LV) systolic dysfunction. A potential therapeutic option for patients with severe CAD and LV dysfunction is a strategy of revascularization. In this review, we summarize the available...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-006-0055-5

    authors: Ghose T,Thompson RC

    更新日期:2006-07-01 00:00:00

  • Biomarkers of plaque instability.

    abstract::Atherosclerosis is the proximate cause of arterial thrombosis, leading to acute occlusive cardiovascular syndromes. Thrombosis in atherosclerosis usually results from rupture of the fibrous cap of atherosclerotic plaques with a smaller proportion resulting from superficial endothelial erosion. Ruptured plaques are oft...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-014-0547-7

    authors: Shah PK

    更新日期:2014-12-01 00:00:00