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Core IM | Internal Medicine Podcast

#104 Guideline-Directed Medical Therapy for HFrEF Part 1: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.81K Ratings

🗓️ 11 May 2022

⏱️ 39 minutes

🧾️ Download transcript

Summary

How do you counsel patients on beta blockers? Is one beta-blocker better than the other? What is preferred: ACEi, ARBs or ARNIs? What are the pros and cons of each? How does spironolactone compare to eplerenone? When do you stop mineralocorticoid receptor antagonist? What are risks with SGLT2 inhibitors? How do you initiate GDMT? Which meds do you start first and in what order?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/05/11/5-pearls-on-guideline-directed-medical-therapy/Sponsor: https://go.amboss.com/GDMT (https://go.amboss.com/GDMT)Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps:* 03:13 Pearl 1* 12:14 Pearl 2* 20:36 Pearl 3* 26:42 Pearl 4* 32:16 Pearl 5Tags: IM Core, CoreIM, heart failure with reduced ejection fraction, GDMT, treatment, cardiology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0

Hi everyone. Before we get into today's episode just a quick note from our sponsor

0:05.1

we are thrilled to have Ambos is our sponsor for today's episode. Let's hear

0:08.7

from James an Internal Medicine resident from the Bay Area and how he uses Ambos.

0:13.0

I didn't know that maha was a feature of hyper-tensive emergency.

0:17.0

Like, you know, everyone thinks about the typical organ dysfunction.

0:21.0

So this patient ended up having you know maha. So I think that like a

0:26.7

little bit of nuance I picked up really quickly from accessing emboss like when I was

0:30.8

doing the admission. The other thing is it's organized very intuitively.

0:34.4

You know, when you go to an up-to-date website,

0:36.8

there might be some organization like,

0:38.6

you know, organized into clinical features or diagnostics.

0:42.0

The way Ambus is is that that information is not open

0:45.6

unless you click on it.

0:46.9

So if I want to go directly to the diagnostic section,

0:49.8

it's really easy for me to do that.

0:51.4

And I think it's much harder to find that the necessary

0:53.9

information via other resources and you know all resources have their role but I

0:58.8

think it was really helpful in providing me

1:03.0

allowing me to advance that patient's care

1:05.2

without like getting so bogged down into it.

1:07.8

You can try Ambos for free by signing up on Ambos.

1:10.7

com.

...

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