124 results
Guidelines Directed medical therapy for Heart Failure 

Satyendra Dhar, MD, @DharSaty

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

 •
Approach: ACE, ARB, ARNI ... -2 Inhibitor → ARNI ... Heart #Failure #CHF
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
ACEI, ARB, or ARNI ... ACEI or ARB • ARNI ... #medications #chf
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy
 • Beta-blocker
 • ACE,
• ACE, ARB, ARNI ... Heart #Failure #CHF
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A
Task Force on Clinical ... HeartFailure #Management #CHF ... treatment #algorithm #sCHF
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... 81% for acute HF ... 5 pts w/ acute HF ... Inhibitors and ARBs • ARNIs ... #pharmacology #sCHF
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
for diagnosis of CHF ... #PhysicalExam #Clinical
Selected Clinical Trials of SGLT2 inhibitors in CVD and CKD
EMPA-REG OUTCOME - Empagliflozin lowered CV events
Selected Clinical ... for SGLT2i in HF ... for SGLT2i in HF ... lowered CV death or HHF ... improved HF outcomes
The H2FPEF score and point allocations
for each clinical characteristic (top), with
associated probability of having heart failure
with
allocations for each clinical ... #HFPEF #Score #CHF
Comparison of Common MRI Sequences - T1 vs T2 vs Flair
T1:
 • CSF IS DARK
 •
Flair T1: • CSF ... WHITE T2: • CSF ... DARKER FLAIR: • CSF ... neuroradiology #clinical