The Curbsiders Internal Medicine Podcast UNLOCKED #43 Exclusive! HFrEF (TFTC audio)
31 snips
May 14, 2025 Discover the intricacies of managing heart failure with reduced ejection fraction! The hosts highlight the necessity of tailored medication strategies and the crucial role of angiotensin receptor-neprilysin inhibitors. They dive into the importance of dietary counseling, focusing on sodium moderation, and the benefits of patient follow-ups. Learn about SGLT2 inhibitors, their side effects, and effective patient education methods. Plus, humorous anecdotes and quirky insights into shoe design for better foot health add a delightful touch.
AI Snips
Chapters
Transcript
Episode notes
Identify Why Heart Fails
- Always identify the underlying cause of heart failure before starting treatment.
- Understanding etiology may influence therapy decisions and guide further workup.
Four Pillars of HFrEF Therapy
- Use four core medications to treat HFrEF: ARNIs/ACE inhibitors/ARBs, beta blockers, MRAs, and SGLT2 inhibitors.
- Initiate ARNIs first if tolerated, then follow with beta blockers, MRAs, and SGLT2 inhibitors promptly.
Start HFrEF Meds Sequentially
- Start HFrEF medications in sequence, not simultaneously, to identify side effects easily.
- Begin with agents more likely to improve symptoms like ARNIs or ACE inhibitors before beta blockers.