Novel Therapeutic Devices in Heart Failure

Heart failure (HF) constitutes a significant clinical problem and is associated with a sizeable burden for the healthcare system. Numerous novel techniques, including device interventions, are investigated to improve clinical outcome. A review of the most notable currently studied devices targeting...

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Main Authors: Mateusz Guzik, Szymon Urban, Gracjan Iwanek, Jan Biegus, Piotr Ponikowski, Robert Zymliński
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/15/4303
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author Mateusz Guzik
Szymon Urban
Gracjan Iwanek
Jan Biegus
Piotr Ponikowski
Robert Zymliński
author_facet Mateusz Guzik
Szymon Urban
Gracjan Iwanek
Jan Biegus
Piotr Ponikowski
Robert Zymliński
author_sort Mateusz Guzik
collection DOAJ
description Heart failure (HF) constitutes a significant clinical problem and is associated with a sizeable burden for the healthcare system. Numerous novel techniques, including device interventions, are investigated to improve clinical outcome. A review of the most notable currently studied devices targeting pathophysiological processes in HF was performed. Interventions regarding autonomic nervous system imbalance, i.e., baroreflex activation therapy; vagus, splanchnic and cardiopulmonary nerves modulation; respiratory disturbances, i.e., phrenic nerve stimulation and synchronized diaphragmatic therapy; decongestion management, i.e., the Reprieve system, transcatheter renal venous decongestion system, Doraya, preCardia, WhiteSwell and Aquapass, are presented. Each segment is divided into subsections: potential pathophysiological target, existing evidence and weaknesses or unexplained issues. Novel therapeutic devices represent great potential in HF therapy management; however, further evidence is necessary to fully evaluate their utility.
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spelling doaj.art-a573e9dac07b4267af133fe26d5f492c2023-11-30T22:31:59ZengMDPI AGJournal of Clinical Medicine2077-03832022-07-011115430310.3390/jcm11154303Novel Therapeutic Devices in Heart FailureMateusz Guzik0Szymon Urban1Gracjan Iwanek2Jan Biegus3Piotr Ponikowski4Robert Zymliński5Institute of Heart Diseases, Wroclaw Medical University, 50-556 Wroclaw, PolandInstitute of Heart Diseases, Wroclaw Medical University, 50-556 Wroclaw, PolandInstitute of Heart Diseases, Wroclaw Medical University, 50-556 Wroclaw, PolandInstitute of Heart Diseases, Wroclaw Medical University, 50-556 Wroclaw, PolandInstitute of Heart Diseases, Wroclaw Medical University, 50-556 Wroclaw, PolandInstitute of Heart Diseases, Wroclaw Medical University, 50-556 Wroclaw, PolandHeart failure (HF) constitutes a significant clinical problem and is associated with a sizeable burden for the healthcare system. Numerous novel techniques, including device interventions, are investigated to improve clinical outcome. A review of the most notable currently studied devices targeting pathophysiological processes in HF was performed. Interventions regarding autonomic nervous system imbalance, i.e., baroreflex activation therapy; vagus, splanchnic and cardiopulmonary nerves modulation; respiratory disturbances, i.e., phrenic nerve stimulation and synchronized diaphragmatic therapy; decongestion management, i.e., the Reprieve system, transcatheter renal venous decongestion system, Doraya, preCardia, WhiteSwell and Aquapass, are presented. Each segment is divided into subsections: potential pathophysiological target, existing evidence and weaknesses or unexplained issues. Novel therapeutic devices represent great potential in HF therapy management; however, further evidence is necessary to fully evaluate their utility.https://www.mdpi.com/2077-0383/11/15/4303heart failurecardiorenal syndromeautonomic dysregulationrespiratory disturbancesnovel devices
spellingShingle Mateusz Guzik
Szymon Urban
Gracjan Iwanek
Jan Biegus
Piotr Ponikowski
Robert Zymliński
Novel Therapeutic Devices in Heart Failure
Journal of Clinical Medicine
heart failure
cardiorenal syndrome
autonomic dysregulation
respiratory disturbances
novel devices
title Novel Therapeutic Devices in Heart Failure
title_full Novel Therapeutic Devices in Heart Failure
title_fullStr Novel Therapeutic Devices in Heart Failure
title_full_unstemmed Novel Therapeutic Devices in Heart Failure
title_short Novel Therapeutic Devices in Heart Failure
title_sort novel therapeutic devices in heart failure
topic heart failure
cardiorenal syndrome
autonomic dysregulation
respiratory disturbances
novel devices
url https://www.mdpi.com/2077-0383/11/15/4303
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AT gracjaniwanek noveltherapeuticdevicesinheartfailure
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AT piotrponikowski noveltherapeuticdevicesinheartfailure
AT robertzymlinski noveltherapeuticdevicesinheartfailure