The Curbsiders Internal Medicine Podcast cover image

The Curbsiders Internal Medicine Podcast

#459 DIGEST: Finerenone for Heart Failure, PCV21 and the latest Pneumonia Vaccine Recs, 24-hour vs 15-hour Oxygen Therapy, and PREVENT vs PCE for Cardiovascular Risk Estimation

Oct 28, 2024
Dive into the latest innovations in heart failure treatment with finerenone, spotlighting its significant findings. Discover updates on pneumonia vaccination, especially the new PCV21, and its impact on risk for older adults. The discussion also covers long-term oxygen therapy strategies and their implications for patient care. Plus, explore critiques of outdated cardiovascular risk calculators and the introduction of the PREVENT equations for more tailored assessments. It's a jam-packed conversation that blends medical insights with a dash of humor!
54:41

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Quick takeaways

  • Finerenone significantly reduces cardiovascular death and heart failure events in patients with mildly reduced ejection fraction but raises concerns about hyperkalemia and renal benefits.
  • The CDC now recommends the PCV21 pneumonia vaccine for all adults 50 and older, expanding coverage to address rising pneumococcal disease rates.

Deep dives

Exciting Developments for 2024

The podcast opens with a discussion about the excitement surrounding 2024, encouraging listeners to subscribe to their Patreon for bonus content and community interaction. The hosts, Dr. Matthew Waddo and Dr. Nora Toronto, highlight their enthusiasm for the various medical topics they will explore in this episode. They introduce the idea of discussing cutting-edge medical research, including innovative treatments, new guidelines, and evolving practices. This sets the stage for a deep dive into recent findings that could influence patient care.

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