Table 2.
Future areas of study in the management of advanced heart failure in women.
Areas of equipoise in the management of advanced heart failure in women | Potential areas of future research |
---|---|
Hemodynamic instability | Identify sex-specific cutoffs that indicate hemodynamic compromise in men and women |
Biomarker derangements | Explore the validity of sex-specific cutoffs for advanced heart failure prognostication |
Exercise capacity | Investigate sex specific cut-offs in 6-min walk test, exercise duration and functional capacity |
Frailty assessment | Explore the optimal strategy for frailty assessment among women with advanced heart failure |
Waitlisting prior to heart transplant | Identify the optimal waitlist strategy for female patients in the pre-transplant period |
Chronic inotrope use | Impact of chronic inotropes on sex-based clinical outcomes |
Palliative care | Explore a sex-specific approach to the use of palliative care interventions |
Temporary mechanical circulatory support | Evaluate sex-specific differences in the utilization and outcomes of temporary mechanical circulatory support |
Anticoagulation strategy in LVAD | Explore optimal anticoagulation strategies in male and female LVAD patients |
Referral for advanced therapies | Evaluate the role of a sex-specific risk stratification strategy in referrals for advanced cardiac therapies |
Allocation of advanced therapies | Evaluate impact of interventions aimed at reducing inequities in allocation of advanced cardiac therapies |
LVAD, left ventricular assist devices.