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diagnosis differential management clinical algorithm causes cardiology pocus treatment pharmacology pulmonary nephrology pathophysiology table ultrasound neurology signs radiology symptoms syndrome
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
(Sens. 81% for acute ... effusions). 1/5 pts w/ acute ... Pharmacology: • ACE ... Inhibitors and ARBs • ARNIs
HFrEF: Guideline Directed Medical Therapy "Must Be On" • ACEI, ARB, or ARNI AND select Beta Blockers
Must Be On" • ACEI ... , ARB, or ARNI AND ... before increasing ACEI ... Reducing: • ACEI ... or ARB • ARNI
Guidelines Directed medical therapy for Heart Failure Satyendra Dhar, MD, @DharSaty #HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
AngiotensinReceptorNeprilysinInhibitor #ACEi ... angiotensinreceptorblockers #ARB #ARNI
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies •
Stepwise Approach: ACE ... , ARB, ARNI → Beta-Blocker ... -2 Inhibitor → ARNI
ACEI Antihypertensive Dose Comparison. Consider divided (BID) regimen for better pre-dose (trough) BP control for the
ACEI Antihypertensive ... the following ACEIs ... #ACEInhibitor #ACEIs
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy • Beta-blocker • ACE,
Beta-blocker • ACE ... , ARB, ARNI •
Lisinopril - ACE inhibitor used for the treatment of hypertension and heart failure. 3rd most prescribed
Lisinopril - ACE ... Prinivil #Qbrelis #ACEI
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
thiazide-like • ACE-I ... Combined: • ACE-I ... ARB + CCB • ACE-I ... Hemorrhage • Acute ... Syndrome • Acute
Acute Mountain Sickness Low partial pressure of oxygen at high altitude • Stop ascent • Supportive
Acute Mountain Sickness ... fluids, analgesia, ani ... Mountain #Sickness #Acute
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Prerenal: • Due to true volume loss or decreased
Acute Kidney Injury ... Drugs: NSAIDs, ACEI ... interstitium • ATN (Acute ... dye) • AIN (acute ... LouLectures #Acute
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