{"id":409803,"date":"2025-11-19T00:30:00","date_gmt":"2025-11-18T23:30:00","guid":{"rendered":"https:\/\/medizinonline.com\/?p=409803"},"modified":"2025-10-16T18:29:21","modified_gmt":"2025-10-16T16:29:21","slug":"worsening-heart-failure","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/en\/worsening-heart-failure\/","title":{"rendered":"Worsening Heart Failure"},"content":{"rendered":"\n<p><strong>The deterioration of chronic heart failure &#8211; so-called <em>worsening heart failure<\/em> (WHF) &#8211; is no longer solely an acute event, but an expression of complex, often repetitive pathophysiological dynamics. Despite improved pharmacotherapy, earlier diagnosis and more sophisticated monitoring, the hospitalization rate remains high and mortality within the first year after discharge is a cause for concern. New data show that WHF is not only the final stage of advanced heart failure, but is often triggered by treatable mechanisms: Volume shifts, inadequate neurohormone blockade, inflammatory or metabolic triggers and inadequate adherence to therapy.    <\/strong><\/p>\n\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/en\/my-account\/packages\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/en\/log-in\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fen%2Fworsening-heart-failure%2F\">Log in here<\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>The deterioration of chronic heart failure &#8211; so-called worsening heart failure (WHF) &#8211; is no longer solely an acute event, but an expression of complex, often repetitive pathophysiological dynamics. Despite&#8230;&hellip;... <\/p>\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/en\/my-account\/packages\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/en\/log-in\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fen%2Fworsening-heart-failure%2F\">Log in here<\/a><\/div><\/div><\/div>","protected":false},"author":7,"featured_media":409805,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"A syndrome between decompensation and chronification","footnotes":""},"category":[11359,11508,11548,11503],"tags":[14585,14580,19158,85498],"powerkit_post_featured":[],"class_list":["post-409803","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cardiology","category-education","category-rx-en","category-studies","tag-hfpef-en","tag-hfref-en","tag-sglt2-en","tag-worsening-heart-failure","pmpro-level-required","pmpro-level-1","pmpro-no-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-17 10:10:26","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"en_US","wpml_translations":{"fr_FR":{"locale":"fr_FR","id":409807,"slug":"defaillance-cardiaque-aggravee","post_title":"D\u00e9faillance cardiaque aggrav\u00e9e","href":"https:\/\/medizinonline.com\/fr\/defaillance-cardiaque-aggravee\/"},"it_IT":{"locale":"it_IT","id":409822,"slug":"peggioramento-dellinsufficienza-cardiaca","post_title":"Peggioramento dell'insufficienza cardiaca","href":"https:\/\/medizinonline.com\/it\/peggioramento-dellinsufficienza-cardiaca\/"},"pt_PT":{"locale":"pt_PT","id":409816,"slug":"agravamento-da-insuficiencia-cardiaca","post_title":"Agravamento da insufici\u00eancia card\u00edaca","href":"https:\/\/medizinonline.com\/pt-pt\/agravamento-da-insuficiencia-cardiaca\/"},"es_ES":{"locale":"es_ES","id":409817,"slug":"empeoramiento-de-la-insuficiencia-cardiaca","post_title":"Empeoramiento de la insuficiencia cardiaca","href":"https:\/\/medizinonline.com\/es\/empeoramiento-de-la-insuficiencia-cardiaca\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/409803","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/comments?post=409803"}],"version-history":[{"count":1,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/409803\/revisions"}],"predecessor-version":[{"id":409806,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/409803\/revisions\/409806"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media\/409805"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media?parent=409803"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/category?post=409803"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/tags?post=409803"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/powerkit_post_featured?post=409803"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}