#45: Heart failure: update and guidelines review
Published June 26, 2017
62 min
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    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

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