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169. The Internist's Guide to Heart Failure with Reduced Ejection Fraction (Repeat)

The Intern At Work: Internal Medicine

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HEFREF: Guideline-Directed Medical Therapy

With this quadruple therapy, it's a lot of medication that a patient might need to start if they bear a new diagnosis of HEFREF. How quickly do you tend to start these medications and adjust them back up to the target doses? Yeah, we should be starting these therapies as soon as possible. But depending on the patient's comorbidities, volume status, blood pressure, heart rate, renal function, and potassium level, you may decide on combining certain classes of drugs with one another.

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