298 results
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 ... heartfailure #diagnosis #management
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
Must Be On" • ACEI ... , ARB, or ARNI AND ... Reducing: • ACEI ... or ARB • ARNI ... patients #hfref #management
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies

 •
Stepwise Approach: ACE ... , ARB, ARNI → Beta-Blocker ... -2 Inhibitor → ARNI ... HFrEF #Guideline #management
ACEI Antihypertensive Dose Comparison. Consider divided (BID) regimen for better pre-dose (trough) BP control for the
ACEI Antihypertensive ... the following ACEIs ... #ACEInhibitor #ACEIs ... #Hypertension #Management
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
 • Beta-blocker
 • ACE,
Beta-blocker • ACE ... , ARB, ARNI • ... HFrEF #Guideline #management
Outpatient Hypertension Management Algorithm
Monotherapy: 
 • Thiazide/thiazide-like 
 • ACE-I (non-black patients), 
 • ARB
Outpatient Hypertension Management ... thiazide-like • ACE-I ... Combined: • ACE-I ... ARB + CCB • ACE-I ... #Hypertension #Management
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
Acute Mountain Sickness ... fluids, analgesia, ani ... Mountain #Sickness #Acute ... Signs #Diagnosis #Management
ED Procedural Sedation with Propofol - ACEP Clinical Practice Guidelines 2018 update 

Reference: https://www.ncbi.nlm.nih.gov/pubmed/30732981

By: Kelly Wong,
with Propofol - ACEP ... Sedation #PSA #ACEP ... Guideline #Emergency #Management
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