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Optimizing Outcomes in Chronic Heart Failure: New Thinking, New Choices

The financial and human burden of heart failure in the United States is substantial and growing. This condition represents the most common cause of...

Available credits: 0.50

Time to complete: 30 minutes


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  • Overview

    The financial and human burden of heart failure in the United States is substantial and growing. This condition represents the most common cause of hospitalizations and readmissions among Medicare beneficiaries, and these numbers are poised to grow substantially over the coming years with the aging of the population. Although evidence from community-based studies of heart failure patients demonstrates that hospitalization rates have declined over the past decade, these analyses also indicate that the management of this patient population is far from optimal.  Until recently, available treatments have demonstrated only variable success in improving presenting signs and symptoms, but none have significantly altered post-discharge outcomes for patients presenting with chronic heart failure. Physicians who treat patients with chronic heart failure must possess a good working knowledge of clinical data for prognostic factors, recognize the considerations for individualizing treatment to meet patients’ needs, and understand the benefits and limitations of newer treatment approaches.

  • Learning Objectives

    • Describe common challenges that contribute to poor outcomes among patients with chronic heart failure;
    • Apply data from recent trials investigating the effects of novel treatment strategies on morbidity and mortality among patients with chronic heart failure to potential care plans as they become available;
    • Compare the safety and adverse-effect profiles of novel treatment approaches with current standards of care for chronic heart failure.
  • Target Audience

    The intended audiences for this activity are physicians and other health care professionals who manage patients with chronic heart failure.

  • Disclosure of Conflicts of Interest


    James L. Januzzi, MD
    Hutter Family Professor of Medicine, Harvard Medical School; Roman W. DeSanctis Endowed Clinical Scholar, Massachusetts General Hospital, Boston, Massachusetts


    Matt Birnholz, MD
    Johns Hopkins School of Medicine, Children's Memorial Hospital of Chicago, Northwestern University Feinberg School of Medicine

    Disclosure of Conflicts of Interest:

    According to the disclosure policy of the University of Cincinnati College of Medicine, faculty, editors, managers, and other individuals who are in a position to control content are required to disclose any relevant financial relationships with the commercial companies related to this activity.  All relevant relationships that are identified are reviewed for potential conflicts of interest. If a conflict of interest is identified, it is the responsibility of the University Of Cincinnati College Of Medicine to initiate a mechanism to resolve the conflict(s). The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the presentation. All educational materials are reviewed for fair balance, scientific objectivity of studies reported, and levels of evidence.

    The following faculty has reported real or apparent conflicts of interest that have been resolved:

    James L. Januzzi, MD, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Amgen, Inc.; Critical Diagnostics; Novartis Pharmaceuticals Corporation; Roche
    Received grants for clinical research from: Siemens AG; Roche; Thermo Fisher Scientific Inc.

    Matt Birnholz, MD (host) is employed by ReachMD.

    The following reviewers/planners/authors have reported real or apparent conflicts of interest:

                 • Susan Tyler, MEd, CMP, CHCP, has nothing to disclose.
                 • Rick Ricer, MD, has nothing to disclose.
                 • Deborah Cole, Program Coordinator, has nothing to disclose.
                 • Otto Ratz, MD, has nothing to disclose.
                 • Christina Culbert, MSc, has nothing to disclose.

  • Accreditation and Credit Designation Statements

    This CME activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Cincinnati and CORE Medical Education, LLC. University of Cincinnati is accredited by the ACCME to provide continuing medical education for physicians.

    University of Cincinnati designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • Provider(s)/Educational Partner(s)

    This CME activity was developed through the joint providership of the University of Cincinnati and CORE Medical Education, LLC.

  • Commercial Support

    This CME activity is supported by an educational grant from Novartis Pharmaceuticals.

  • Terms of Use

    This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Neither the University of Cincinnati College of Medicine nor CORE Medical Education, LLC, recommends the use of any agent outside of the labeled indications. The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the University of Cincinnati College of Medicine or CORE Medical Education, LLC. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

  • Instructions

    There are no fees for participating in and receiving CME credit for this online activity. During the period of August 1, 2016 to July 31, 2017, participants must 1) read the learning objectives and faculty disclosures; 2) listen to the full content of the activity and reflect upon its teachings; 3) successfully complete the post-test with a passing score of 70% and the evaluation at the end of the activity.

    Participants who successfully complete the activity, post test and evaluation will have a statement of credit made available immediately.

  • Disclaimer

    The views and opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of ReachMD. This presentation is not intended to define an exclusive course of patient management; the participant should use his/her clinical judgment, knowledge, experience and diagnostic skills in applying or adopting for professional use any of the information provided herein. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patients' conditions and possible contraindications or dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities. Links to other sites may be provided as additional sources of information. Once you elect to link to a site outside of ReachMD you are subject to the terms and conditions of use, including copyright and licensing restriction, of that site.

    Reproduction of this material is not permitted without written permission from the copyright owner.

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