The Intern At Work: Internal Medicine cover image

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

The Intern At Work: Internal Medicine

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Do You Think Variciguat Is Coming to Canada?

De Jocsen is still a somewhat useful medication to consider if all else fails and that's why you still find it in the guidelines. It can also be used to patients remain extremely symptomatic despite being on maximally tolerated doses of other guideline direct to medical therapies. The ditch trial did demonstrate a reduction in hospitalizations, both related to heart failure as well as other causes. But it sounds as though this is really kind of a last resort drug for you.

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