5792 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
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
ACEI, ARB, or ARNI ... ACEI or ARB • ARNI
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy
 • Beta-blocker
 • ACE,
• ACE, ARB, ARNI
Nephron Remodeling as a Mechanism of Diuretic Resistance. When high doses of loop diuretics are used
Pathophysiology #Nephro #IM #LoopDiuretic
Mechanisms of Loop Diuretic Action and Resistance. Panel A, loop diuretics circulate bound to protein. As
Pathophysiology #Nephro #IM #LoopDiuretic
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
fluids, analgesia, ani ... Symptoms #Signs #Diagnosis
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
modalities such as ARFI ... Cut-off points for ARFI ... ARFI, acoustic radiation
Alcohol-related liver disease algorithm. 

In patients in whom alcohol is suspected to be the main injurious
Cut-off points for ARFI ... ARFI, acoustic radiation ... Hepatitis #management #diagnosis
Blurry vision in a patient with HIV/AIDS
Anterior Segment:
 • Herpes zoster ophthalmicus
 • Keratitis (HSV, Staph,
retinal necrosis (ARN ... #Differential #Diagnosis