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diagnosis management cardiology differential pharmacology treatment hfref medications comparison heartfailure gdmt hyperkalemia nephrology angiotensin causes conversion chronic congestive criticalcare guideline
HFrEF: Guideline Directed Medical Therapy "Must Be On" • ACEI, ARB, or ARNI AND select Beta Blockers
Must Be On" • ACEI ... , ARB, or ARNI AND ... or ARB dose for ... or ARB • ARNI ... #medications #chf
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
development of HF ... ACEI indicates angiotensin-converting ... fibrillation; ARB ... #CHF #Congestive ... Stages #ACCAHA #Algorithm
Heart Failure (HFrEF) Treatment - GDMT for stage C For patients with Heart Failure with REDUCED
initiate them on ACEI ... or ARB and an evidenced ... /ARB + Beta-Blocker ... /ARB), spironolactone ... /ambcarerx #CHF
Target Doses in Congestive Heart Failure • Beta Blockers: Bisoprolol, Carvedilol, Metoprolol succinate, ARNI, Sacubitril/valsartan •
Sacubitril/valsartan • ACEI ... Lisinopril, Ramipril • ARB ... #HeartFailure #CHF
Recommended Therapeutic Approach to the Patient with Hypertrophic Cardiomyopathy (HOCM) ACE, angiotensin-converting enzyme; ARB, angiotensin receptor blockers;
Cardiomyopathy (HOCM) ACE ... angiotensin-converting enzyme; ARB ... receptor blockers; HF ... Cardiomyopathy #Algorithm
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 ... /ARB therapy have ... ACEI/ARB's are often
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Hypertension Management Algorithm ... patients), • ARB ... + CCB • ARB ... or ARB + Diuretic ... Hypertension #Management #Algorithm
ACEi/ARBs in COVID-19: Beneficial, Bad, or Benign? Preclinical studies suggest ACEi/ARB use increases ACE2 expression, raising concern
ACEi/ARBs in COVID ... /ARB use increases ... ACE2 expression ... However, ACEi/ARB ... #ARBs #COVID19
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy • Beta-blocker • ACE,
Beta-blocker • ACE ... , ARB, ARNI • ... Heart #Failure #CHF
Guidelines Directed medical therapy for Heart Failure Satyendra Dhar, MD, @DharSaty #HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
AngiotensinReceptorNeprilysinInhibitor #ACEi ... angiotensinreceptorblockers #ARB ... ARNI #PARADIGM-HF
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