12 results
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A
2017 ACC/AHA/HFSA ... Guideline for the Management ... Society of America #HFrEF ... #CHF #guideline ... #ACCAHA2017 #cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial fibrillation ... ejection fraction; HFrEF ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
Iron Deficiency in Heart Failure - Diagnosis and Treatment Algorithm
Diagnosis: Ferritin <100 ng/mL (absolute ID) OR
Guidelines: • ACC ... patients with HFrEF ... iron #deficiency #CHF ... #diagnosis #management ... #algorithm #cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... rhythm in atrial fibrilation ... - May mimic HF ... ineffective) #Management ... #Cardiology #HFpEF
Heart Failure (HFrEF) Treatment - GDMT for stage C 

For patients with Heart Failure with REDUCED
recommended by the ACC ... /ambcarerx #CHF ... #sCHF #HeartFailure ... #Management #Treatment ... #StageC #Cardiology
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
→ Inflammation causes ... iron #deficiency #CHF ... #HFrEF #heartfailure ... #diagnosis #management ... #cardiology
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
Acute Atrial Fibrillation ... Beneficial in HFrEF ... regimen is not as clear ... #pharmacology #management ... #cardiology #AFib
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treat underlying cause ... Probable atrial fibrillation ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
cardiovascular causes ... hospitalization for the management ... Spironolactone #HFpEF ... #dCHF #Cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Decompensated HF ... TEE to exclude thrombus ... AFib #diagnosis #management ... #cardiology