Myocardial Recovery in the Systemic Context: A Philosophic Shift for the Heart Failure Subspecialty to Optimize Patient Care

Heart failure poses a significant challenge to healthcare systems and society at large, mainly due to its increasing prevalence among the aging population and its association with frequent hospitalizations with high mortality rates. At its core, heart failure management seeks to emphasize myocardial...

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Main Authors: Arjun Kapoor, Jehanzeb Kayani, Muhammad Saad, Anuradha Lala
Format: Article
Language:English
Published: Houston Methodist DeBakey Heart & Vascular Center 2024-08-01
Series:Methodist DeBakey Cardiovascular Journal
Subjects:
Online Access:https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1416
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author Arjun Kapoor
Jehanzeb Kayani
Muhammad Saad
Anuradha Lala
author_facet Arjun Kapoor
Jehanzeb Kayani
Muhammad Saad
Anuradha Lala
author_sort Arjun Kapoor
collection DOAJ
description Heart failure poses a significant challenge to healthcare systems and society at large, mainly due to its increasing prevalence among the aging population and its association with frequent hospitalizations with high mortality rates. At its core, heart failure management seeks to emphasize myocardial recovery across the spectrum of disease, from acute cardiogenic shock to ambulatory heart failure, with care ranging from consideration of mechanical circulatory support to medication optimization. In this review, we propose a definition of “recovery” that extends beyond the restoration of normal myocardial dynamics to the entire human organism, ultimately improving functional capacity and clinical outcomes. Prioritizing this more holistic definition of “recovery” allows a broader representation of the spectrum of disease and corresponding management that falls under the “heart failure” umbrella. In so doing, a more synchronized delivery of care across settings and disciplines may be feasible for the modern patient living with heart failure.
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publishDate 2024-08-01
publisher Houston Methodist DeBakey Heart & Vascular Center
record_format Article
series Methodist DeBakey Cardiovascular Journal
spelling doaj-art-93bbe4ac016048c7ba4fbb4728fdefde2025-08-20T03:47:06ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082024-08-012049810810.14797/mdcvj.14161394Myocardial Recovery in the Systemic Context: A Philosophic Shift for the Heart Failure Subspecialty to Optimize Patient CareArjun Kapoor0https://orcid.org/0000-0001-8334-5212Jehanzeb Kayani1https://orcid.org/0000-0001-7342-2763Muhammad Saad2Anuradha Lala3https://orcid.org/0000-0001-6479-6958Icahn School of Medicine at Mount Sinai, New York, New YorkIcahn School of Medicine at Mount Sinai, New York, New YorkMount Sinai Fuster Heart Hospital, The Mount Sinai Hospital, New York, New YorkIcahn School of Medicine at Mount Sinai, Mount Sinai Fuster Heart Hospital, The Mount Sinai Hospital, New York, New YorkHeart failure poses a significant challenge to healthcare systems and society at large, mainly due to its increasing prevalence among the aging population and its association with frequent hospitalizations with high mortality rates. At its core, heart failure management seeks to emphasize myocardial recovery across the spectrum of disease, from acute cardiogenic shock to ambulatory heart failure, with care ranging from consideration of mechanical circulatory support to medication optimization. In this review, we propose a definition of “recovery” that extends beyond the restoration of normal myocardial dynamics to the entire human organism, ultimately improving functional capacity and clinical outcomes. Prioritizing this more holistic definition of “recovery” allows a broader representation of the spectrum of disease and corresponding management that falls under the “heart failure” umbrella. In so doing, a more synchronized delivery of care across settings and disciplines may be feasible for the modern patient living with heart failure.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1416heart failuremyocardial recoverysystemic recoveryfunctional recoverysystems of care
spellingShingle Arjun Kapoor
Jehanzeb Kayani
Muhammad Saad
Anuradha Lala
Myocardial Recovery in the Systemic Context: A Philosophic Shift for the Heart Failure Subspecialty to Optimize Patient Care
Methodist DeBakey Cardiovascular Journal
heart failure
myocardial recovery
systemic recovery
functional recovery
systems of care
title Myocardial Recovery in the Systemic Context: A Philosophic Shift for the Heart Failure Subspecialty to Optimize Patient Care
title_full Myocardial Recovery in the Systemic Context: A Philosophic Shift for the Heart Failure Subspecialty to Optimize Patient Care
title_fullStr Myocardial Recovery in the Systemic Context: A Philosophic Shift for the Heart Failure Subspecialty to Optimize Patient Care
title_full_unstemmed Myocardial Recovery in the Systemic Context: A Philosophic Shift for the Heart Failure Subspecialty to Optimize Patient Care
title_short Myocardial Recovery in the Systemic Context: A Philosophic Shift for the Heart Failure Subspecialty to Optimize Patient Care
title_sort myocardial recovery in the systemic context a philosophic shift for the heart failure subspecialty to optimize patient care
topic heart failure
myocardial recovery
systemic recovery
functional recovery
systems of care
url https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1416
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