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management cardiology hfref diagnosis gdmt chf pharmacology guideline algorithm failure heart heartfailure acei acute alcohol altitude anatomy angiotensinreceptorblockers angiotensinreceptorneprilysininhibitor anterior
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies •
Approach: ACE, ARB, ARNI ... -2 Inhibitor → ARNI
HFrEF: Guideline Directed Medical Therapy "Must Be On" • ACEI, ARB, or ARNI AND select Beta Blockers
ACEI, ARB, or ARNI ... ACEI or ARB • ARNI
Guidelines Directed medical therapy for Heart Failure Satyendra Dhar, MD, @DharSaty #HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
angiotensinreceptorblockers #ARB #ARNI
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy • Beta-blocker • ACE,
• ACE, ARB, ARNI
Target Doses in Congestive Heart Failure • Beta Blockers: Bisoprolol, Carvedilol, Metoprolol succinate, ARNI, Sacubitril/valsartan •
Metoprolol succinate, ARNI
Blurry vision in a patient with HIV/AIDS Anterior Segment: • Herpes zoster ophthalmicus • Keratitis (HSV, Staph,
retinal necrosis (ARN
Guideline-Directed Medical Therapy (GDMT) in HFrEF and CKD • Class I pillars of HFrEF GDMT across
disease: ACEI, ARB, ARNI
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Inhibitors and ARBs • ARNIs
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Avoid ARB/ACE-I/ARNI
Non-alcoholic fatty liver disease algorithm. For those patients with NAFLD or liver disease of unknown aetiology,
modalities such as ARFI ... Cut-off points for ARFI ... ARFI, acoustic radiation
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