18 results
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies

 •
Approach: ACE, ARB, ARNI ... -2 Inhibitor → ARNI ... Guideline #management #GDMT
Guidelines Directed medical therapy for Heart Failure 

Satyendra Dhar, MD, @DharSaty

#HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
DharSaty #HFrEF #GDMT ... angiotensinreceptorblockers #ARB #ARNI
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy
 • Beta-blocker
 • ACE,
• ACE, ARB, ARNI ... Guideline #management #GDMT
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
ACEI, ARB, or ARNI ... ACEI or ARB • ARNI ... chf #cardiology #GDMT
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
oxygen at high altitude ... fluids, analgesia, ani ... Diagnosis #Management #Altitude
Guideline-Directed Medical Therapy (GDMT) in HFrEF and CKD

 • Class I pillars of HFrEF GDMT across
Medical Therapy (GDMT ... pillars of HFrEF GDMT ... disease: ACEI, ARB, ARNI ... after core GDMT ... part of HFrEF GDMT
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
average settings • Causes ... : High altitude ... gas equation • Causes ... • Most common cause ... to hypoxemia • Causes
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Uncommon Causes ... Framework High Altitude ... • High-altitude ... of other common causes ... Any opioid can cause
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Avoid ARB/ACE-I/ARNI ... pregnancy, teratogenic GDMT
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate ... The most common causes ... - Many other causes ... encountered in a multitude ... Causes of elevated