714 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
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
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
fluids, analgesia, ani ... Sickness #Acute #Symptoms ... #Signs #Diagnosis
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
15 eos/hpf • Symptoms ... : Persistent symptoms ... decrease in a symptom ... : Decreased symptoms ... EoE #Response #diagnosis
Chest Pain Differential By Symptom Characteristics
- Dr. Andrew Perry https://twitter.com/Perrycardium

#ChestPain #Differential #Symptoms #Characteristics #Diagnosis
Differential By Symptom ... #Differential #Symptoms ... Characteristics #Diagnosis
Digoxin 101 - Pharmacology
Indications:

1) Tachyarrhythmias 
 • Atrial Fibrillation, Atrial Flutter, Supraventricular Tachycardias
 • ↑ Vagal
NYHA III or IV symptoms ... despite GDMT
Migraine with Aura
Diagnostic Criteria (ICHD-3):
A) At least 2 attacks fulfilling criteria B and C:
B) One or
Migraine with Aura Diagnostic ... reversible aura symptoms ... visual aura, but symptoms ... another ICHD-3 diagnosis ... Migraine #Aura #diagnosis