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Interatrial shunt devices for heart failure with normal ejection fraction: a technology update.


ABSTRACT: Heart failure with normal ejection fraction (HeFNEF) accounts for ~50% of heart failure admissions. Its pathophysiology and diagnostic criteria are yet to be defined clearly which may hinder the search for effective treatments. The clinical hallmark of HeFNEF is exertional breathlessness, often due to an abnormal increase in left atrial pressure during exercise. Creation of an interatrial communication to offload the left atrium is a possible therapeutic approach. There are two percutaneously delivered devices currently under investigation which are discussed in this review.

SUBMITTER: Cuthbert JJ 

PROVIDER: S-EPMC5476655 | biostudies-other | 2017

REPOSITORIES: biostudies-other

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Interatrial shunt devices for heart failure with normal ejection fraction: a technology update.

Cuthbert Joseph J JJ   Pellicori Pierpaolo P   Clark Andrew L AL  

Medical devices (Auckland, N.Z.) 20170602


Heart failure with normal ejection fraction (HeFNEF) accounts for ~50% of heart failure admissions. Its pathophysiology and diagnostic criteria are yet to be defined clearly which may hinder the search for effective treatments. The clinical hallmark of HeFNEF is exertional breathlessness, often due to an abnormal increase in left atrial pressure during exercise. Creation of an interatrial communication to offload the left atrium is a possible therapeutic approach. There are two percutaneously de  ...[more]

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