13 results
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... ejection fraction; GDMT ... heart failure; HFpEF ... ejection fraction; HFrEF ... #Cardiology
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... - Differential Diagnosis ... Pulmonary/Chest ... Pericarditis, CAD ... , HFrEF/HFpEF, Intracardiac
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... relevant Maintain atrial ... sinus rhythm in atrial ... , pulmonary hypertension ... #Cardiology #HFpEF
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Hypertension ... • Evaluate for causes ... Sanjiv Shah @HFpEF ... Echocardiography #diagnosis ... #cardiology #echocardiogram
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
→ Inflammation causes ... release Diagnosis ... endpoint of all-cause ... deficiency #CHF #HFrEF ... #management #cardiology
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 • RV size - Enlarged
 • LA
Artery Hypertension ... Sanjiv Shah @HFpEF ... Echocardiogram #comparison #diagnosis ... #cardiology #pulmonary ... #arterial #venous
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
Beneficial in HFrEF ... • IV bolus can ... cause hypotension ... #pharmacology #management ... #cardiology #AFib
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
conditions) • Severe iron ... disorders - Chronic pulmonary ... PP and systolic hypertension ... Infarction • Pulmonary ... #cardiology
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... and HFpEF* 2. ... Enroll in HFpEF ... #HFpEF #CAD #Management ... #Algorithm #cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... cycles after right atrial ... disease - Portal hypertension ... cirrhosis • Intra-pulmonary ... Can also be seen