257 results
Guidelines Directed medical therapy for Heart Failure 

Satyendra Dhar, MD, @DharSaty

#HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
angiotensinreceptorblockers #ARB #ARNI ... MineralocorticoidReceptorAntagonist #LoopDiuretic
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies

 •
Approach: ACE, ARB, ARNI ... -2 Inhibitor → ARNI
Toxic Alcohol Ingestion
Alcoholic ketoacidosis - Methanol - Ethylene glycol - Isopropyl Alcohol
 • Metabolic Acidosis
 •
Toxic Alcohol Ingestion ... Alcoholic ketoacidosis ... glycol - Isopropyl Alcohol ... edgarvlermamd #Alcohol
Metabolism of alcohols #Pathophys #EM #Tox #Alcohol #Metabolism #Methanol #EthyleneGlycol #Isopropyl #Formate #Oxalate #AldehydeDehydrogenase #ALiEM
Metabolism of alcohols ... Pathophys #EM #Tox #Alcohol
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
ACEI, ARB, or ARNI ... ACEI or ARB • ARNI
Alcohol-related liver disease algorithm. 

In patients in whom alcohol is suspected to be the main injurious
Alcohol-related ... patients in whom alcohol ... Cut-off points for ARFI ... ARFI, acoustic radiation ... #Alcohol #LiverDisease
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty ... modalities such as ARFI ... Cut-off points for ARFI ... ARFI, acoustic radiation ... carcinoma; NAFLD, non-alcoholic
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy
 • Beta-blocker
 • ACE,
• ACE, ARB, ARNI
Clinical diagnosis of Alcoholic Hepatitis (AH)
 • Onset of jaundice within prior 8 weeks
 • Ongoing
Clinical diagnosis of Alcoholic ... or 60 (male) g alcohol ... • Uncertain alcohol ... denies excessive alcohol ... #diagnosis #Alcoholic
Nephron Remodeling as a Mechanism of Diuretic Resistance. When high doses of loop diuretics are used
Pathophysiology #Nephro #IM #LoopDiuretic