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Treatment options for patients with Chronic Symptomatic Systolic Heart Failure

#sCHF #CongestiveHeartFailure #Systolic #HFrEF #Algorithm #Management #Cardiology
Management #Cardiology #ivabradine
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
dinitrate** • Ivabradine ... Diuretics* • Ivabradine
Drugs Used in Coronary Artery Disease 
 • Nitrates
 • Ca2+ Channel Blockers
 • Beta-Blockers
 •
Ranolazine • Ivabradine
Antiarrhythmic Medications - Vaughan-Williams Classification
 • Class I (Ia, Ib, Ic)
 • Class II
 • Class
Adenosine, Digoxin, Ivabradine
Antiarrhythmic Medications - Vaughan-Williams Classification
 • Class I (Ia, Ib, Ic)
 • Class II
 • Class
Adenosine, Digoxin, Ivabradine
Heart Failure Medications Summary
Inhibitors of the Renin-Angiotensin System:
 • ACE Inhibitors: Benazepril, Captopril, Enalapril, Lisinopril, Quinapril,
Reduction: • Ivabradine
Heart Failure (HFrEF) Treatment - GDMT for stage C 

For patients with Heart Failure with REDUCED
consider adding ivabradine
POTS (Postural Orthostatic Tachycardia Syndrome) - Management
Activity:
 • Exercise training
 • Avoidance of deconditioning
Volume Expansion:
 •
but also ↓BP) • Ivabradine
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
antagonists) • Ivabradine