406 results
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
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy
 • Beta-blocker
 • ACE,
Beta-blocker • ACE ... , ARB, ARNI
Drugs Causing Acute Pancreatitis

Class Ia: The medications in which there was a rechallenge and other causes
Drugs Causing Acute ... rechallenge and other causes ... out other common causes ... Class II: Cases ... #Pancreatitis #Causes
NSAID vs ACEI/ARB effects on the Kidneys

Remember that NSAIDs and ACEI/ARB therapy have opposing effects on
NSAID vs ACEI/ARB ... that NSAIDs and ACEI ... 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
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
The Diagnostic Approach to Hyperkalemia
Drugs
 - Amiloride
 - Spironolactone
 - Triamterene
 - Trimethoprim
 - Pentamidine
 -
inhibitors Other causes ... LMW heparin - ACE-I ... Diabetes mellitus - Acute ... #differential #causes
Causes of acute heart failure
 - Acute pressure overload (increased afterload, mechanical flow obstruction) 
 -
Causes of acute ... heart failure - Acute ... obstruction) - Acute ... impairment - Acute ... #Differential #Causes