#45: Heart failure: update and guidelines review
Update your management of heart failure (HF) with expert tips from Cardiologist Dr. Eric Adler, Associate Professor of Medicine and Director of Cardiac Transplant and Mechanical Circulatory Support at UC San Diego. We cover how to use BNP, a simple way to examine jugular venous distention, medical therapy for heart failure, the PARADIGM-HF trial, and how to use sacubitril/valsartan (Entresto).
Full show notes available at http://thecurbsiders.com/podcast
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Time Stamps
00:00 Intro
04:25 Rapid fire questions
06:00 Palliative care and heart failure
08:40 Book recommendation
10:20 Advice for teachers and learners
12:27 Clinical case of HF
13:38 Classification and staging of HF
17:07 Discussion of BNP
19:35 How to perform neck vein exam for JVD
21:20 BNP for prognosis
23:00 BNP at hospital discharge
26:36 Factors that affect BNP
27:25 Initial patient counseling
32:35 Exercise in HF
34:00 Additional testing at time of diagnosis
36:28 Initial medical therapy
38:30 Discussion of diuretics and dosing
42:50 Aldosterone antagonists
44:30 PARADIGM-HF and entresto
51:27 Medications to avoid in HF
54:14 Digoxin
57:30 Dr. Adler’s take home points
59:11 Stuart questions dosing conventions
60:48 Outro
Tags: arni, assistant, care, diuretics, doctor, education, failure, family, foam, foamed, health, heart, hospitalist, hospital, internal, internist, neprilysin, nurse, management, medicine, medical, physician, practitioner, primary, resident, sacubitril, student