#469 Inpatient Heart Failure

#469 Inpatient Heart Failure

Author: The Curbsiders Internal Medicine Podcast February 3, 2025 Duration: 1:30:38
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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Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
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