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diagnosis management clinical cardiology differential echocardiogram ultrasound treatment chf hematology pharmacology criticalcare nephrology gdmt heartfailure syndrome hyperkalemia pulmonary table workup
HFrEF: Guideline Directed Medical Therapy "Must Be On" • ACEI, ARB, or ARNI AND select Beta Blockers
HFrEF: Guideline ... Must Be On" • ACEI ... , ARB, or ARNI AND ... or ARB dose for ... American patients #hfref
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
ACEI indicates angiotensin-converting ... fibrillation; ARB ... heart failure; HFpEF ... ejection fraction; HFrEF ... Stages #ACCAHA #Algorithm
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy • Beta-blocker • ACE,
Ejection Fraction (HFrEF ... Beta-blocker • ACE ... , ARB, ARNI • ... #Failure #CHF #HFrEF
Heart Failure (HFrEF) Treatment - GDMT for stage C For patients with Heart Failure with REDUCED
initiate them on ACEI ... or ARB and an evidenced ... maximally tolerated ACEI ... /ARB + Beta-Blocker ... /ARB), spironolactone
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies •
Ejection Fraction (HFrEF ... Stepwise Approach: ACE ... , ARB, ARNI → Beta-Blocker ... #Failure #CHF #HFrEF
Guidelines Directed medical therapy for Heart Failure Satyendra Dhar, MD, @DharSaty #HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
@DharSaty #HFrEF ... AngiotensinReceptorNeprilysinInhibitor #ACEi ... angiotensinreceptorblockers #ARB
NSAID vs ACEI/ARB effects on the Kidneys Remember that NSAIDs and ACEI/ARB therapy have opposing effects on
NSAID vs ACEI/ARB ... /ARB therapy have ... NSAIDs cause vasoconstriction ... use shouldn't cause ... ACEI/ARB's are often
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Hypertension Management Algorithm ... patients), • ARB ... + CCB • ARB ... + CCB • ACE-I ... Hypertension #Management #Algorithm
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
inhibitors Other causes ... LMW heparin - ACE-I ... / ARB - Ketoconazole ... #Hyperkalemia #Algorithm ... #differential #causes
Recommended Therapeutic Approach to the Patient with Hypertrophic Cardiomyopathy (HOCM) ACE, angiotensin-converting enzyme; ARB, angiotensin receptor blockers;
Cardiomyopathy (HOCM) ACE ... angiotensin-converting enzyme; ARB ... Cardiomyopathy #Algorithm
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