376 results
Guidelines Directed medical therapy for Heart Failure 

Satyendra Dhar, MD, @DharSaty

#HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
angiotensinreceptorblockers #ARB #ARNI ... MineralocorticoidReceptorAntagonist #LoopDiuretic
Nephron Remodeling as a Mechanism of Diuretic Resistance. When high doses of loop diuretics are used
Pathophysiology #Nephro #IM #LoopDiuretic ... NephronRemodeling #NEJM
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies

 •
Approach: ACE, ARB, ARNI ... -2 Inhibitor → ARNI
Mechanisms of Loop Diuretic Action and Resistance. Panel A, loop diuretics circulate bound to protein. As
Pathophysiology #Nephro #IM #LoopDiuretic ... MechanismOfAction #Resistance #NEJM
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
Goal-Directed Therapy - Evidence Summary of Major Clinical Trials

 - EGDT: NEJM 2001

 - ProCESS: NEJM
Trials - EGDT: NEJM ... - ProCESS: NEJM ... 2014 - ARISE: NEJM ... - ProMlSe: NEJM
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
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
Care TRICC - NEJM ... - ICU FOCUS - NEJM ... Villaneueva - NEJM ... UGIB TRISS - NEJM ... Sepsis TRICS3 - NEJM
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
fluids, analgesia, ani