17 results
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy
 • Beta-blocker
 • ACE,
Guideline Directed Medical ... ARB, ARNI • MRA ... pearls-on-guideline-directed-medical-therapy ... Heart #Failure #CHF ... management #GDMT #cardiology
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies

 •
Guideline Directed Medical ... Beta-Blocker → MRA ... pearls-on-guideline-directed-medical-therapy ... Heart #Failure #CHF ... management #GDMT #cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
development of HF ... guideline-directed medical ... circulatory support; and MI ... #CHF #Congestive ... Algorithm #Management #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... despite intensive medical ... New/worsening MR ... changes or troponin Medical ... catheterization #cardiology
Huge LV thrombus on Echocardiogram

Patient with HF and TIA, in sinus rhythm. Heparin, followed by warfarin,
LV thrombus on Echocardiogram ... Patient with HF ... after 3 months, serial ... thrombus #clinical #echocardiogram ... #POCUS #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... May have typical HF ... ARB/ACE-I/ARNI/MRA ... deteriorating on medical ... diagnosis #management #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Liver function tests ... treatment for acute MI ... #Checklist #CHF ... #HeartFailure #Cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
with a normal echocardiogram ... confirm high-output HF ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, Serial ... elevated LVEDP ==> MRI ... HCM #clinical #echocardiogram ... #plax #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Medical history ... disease b) CHF ... determine if stress test ... one post op Cardiology ... perioperative medical