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Feb 2025
1h 30m

#469 Inpatient Heart Failure

The Curbsiders Internal Medicine Podcast
About this episode
Diuresing ‘til the heart's content

Master inpatient heart failure management! Learn key tips for initiating guideline-directed medical therapy, diuretic therapy pearls, and ensuring smooth transitions of care. We are joined by Dr. Gurusher Panjrath @PanjrathG (GW School of Medicine and Health Sciences-Dr. Panjrath)

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Show Segments

  • Intro
  • Rapid Fire Questions/Picks of the Week
  • Case Aliquot 1
  • Defining Heart Failure
  • POCUS in Heart Failure
  • Timing/Indications for Echocardiography
  • Initiating Diuretic Therapy
  • Adjusting Diuretic Therapy/Drip vs Bolus
  • Adjunct Diuretic Therapy
  • Afterload Reduction
  • Monitoring Diuretic Response
  • Inpatient Sodium and Fluid Restriction
  • Case Aliquot 2
  • Classifying Heart Failure
  • Pharmacotherapy for HFrEF
  • Pharmacotherapy for HFpEF
  • Ischemic Evaluation
  • Interval Summary/Highlights
  • Case Aliquot 3
  • Considerations for Initial Care of Cardiogenic Shock
  • Choosing Inotrope/Vasopressor
  • Right Heart Catheterization
  • Case Aliquot 4
  • Discharge Medications for Heart Failure
  • Titration of Goal Directed Medical Therapy
  • Post Discharge Follow Up
  • Washout Period for ACEi/ARB
  • Cost/Barriers of ARNI
  • Patient Education
  • Take Home Points
  • Outro

Credits

  • Writer, Producer, and Show Notes by: Reaford Blackburn, Jr., MD
  • Infographic & Cover Art: Caroline Coleman MD
  • Hosts: Monee Amin, MD and Meredith Trubitt, MD   
  • Reviewer: Rahul Ganatra MD
  • Technical Production: PodPaste
  • Guest: Gurusher Panjrath, MD
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