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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 #management
HFrEF: Guideline Directed Medical Therapy "Must Be On" • ACEI, ARB, or ARNI AND select Beta Blockers
ACEI, ARB, or ARNI ... ACEI or ARB • ARNI ... patients #hfref #management
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy • Beta-blocker • ACE,
• ACE, ARB, ARNI ... HFrEF #Guideline #management
Nephron Remodeling as a Mechanism of Diuretic Resistance. When high doses of loop diuretics are used
Pathophysiology #Nephro #IM #LoopDiuretic
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 ... algorithm #Referral #Management
Acute Mountain Sickness Low partial pressure of oxygen at high altitude • Stop ascent • Supportive
fluids, analgesia, ani ... Signs #Diagnosis #Management
Mechanisms of Loop Diuretic Action and Resistance. Panel A, loop diuretics circulate bound to protein. As
Pathophysiology #Nephro #IM #LoopDiuretic
Spectrum of activity for systemic antifungal agents Antifungals: 5FC, flucytosine; AMB, amphotericin B; ANI, anidulafungin; CAS, caspofungin;
amphotericin B; ANI ... #antibiogram #management
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 ... ARLD #Hepatitis #management
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