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Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
with Preserved Ejection ... blood pressure - Central ... - May mimic HF ... hypertension, pulmonary ... Cardiology #HFpEF #dCHF
Central line myth #2: location, location, location 

By far the best data we have to guide
Central line myth ... randomized to get the central ... A contra-indication ... #EBM #RCT #Central ... Sites #Infections #Selection
Central Venous Catheter site selection - Clinical Decision Aid
IJ vs Subclavian vs Supraclavicular vs Femoral by
Central Venous Catheter ... site selection ... #CriticalCare #Central ... Catheters #CVC #Lines ... Sites #Infections #Selection
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
development of HF ... mellitus; EF, ejection ... medical therapy; HF ... health-related quality of life ... #CHF #Congestive
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... and cardiogenic pulmonary ... Diagnosis #Radiology #Pulmonary ... #Distribution #Central ... #Peripheral #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... SeptalThickening #CHF ... #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
consolidation is pulmonary ... heart failure like ... flow, Kerley B-lines ... a superimposed pulmonay ... #Differential #RadiologyAssistant
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
returns - Control ... with caution in pulmonary ... disease or CHF) ... with caution in pulmonary ... disease or CHF)
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... parietal pleura reflection ... ) Cardiogenic Pulmonary ... lung sliding Pulmonary ... @Pocus101 #pulmonary
Heart Failure (HFrEF) Treatment - GDMT for stage C 

For patients with Heart Failure with REDUCED
Failure with REDUCED Ejection ... move to the next section ... benefit in second-line ... /ambcarerx #CHF ... #sCHF #HeartFailure