#458 Heart Failure with Reduced Ejection Fraction

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 21 October 2024

⏱️ 64 minutes

🔗️ Recording | iTunes | RSS

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Summary

Kittleson Rules Outpatient Heart Failure Volume 1

Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.

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Show Segments

00:00 Introduction
03:22 Case Presentation: Newly Diagnosed Heart Failure
07:26 Using Physical Exam Findings to Guide Diuresis
11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure
15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients
22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy
28:02 Consideration of Other Medications
40:02 Referral to Advanced Heart Failure Specialist
49:11 Optimizing Therapy and Follow-Up
55:33 Conclusion and Book Recommendation

Credits

Writer and Producer: Deborah Gorth MD, PhD
Infographic and Cover Art: Zoya Surani
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Michelle Kittleson MD, PhD

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Transcript

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0:00.0	Hey listeners it's 2024 and we are so excited for everything ahead this year.
0:05.6	If you haven't done so already make sure to check out our Patreon at
0:09.0	Patreon dot com slash curbsideers where you can get access to bonus episodes we've already
0:13.9	released 18 of them and they come out twice a month plus you can get access to
0:18.0	add free episodes and our private discord server to hang out with other members of
0:22.4	the cashlack community.
0:23.7	That's Patreon.com slash curbsideers.
0:29.8	Hey Paul, I seem to only get sick on weekdays.
0:33.4	Why do I feel like I've heard this one before?
0:36.7	Okay.
0:37.7	I must have a week end immune system.
0:40.0	Huh, I was expecting a cardiac pun, but all right.
0:46.0	Yeah, well, you know, we're, time is, time is of the essence.
0:50.0	Paul. sense. any diseases or conditions. For the more of the few statements expressed on this podcast are solely
1:02.6	those of the hosts and should not be interpreted to reflect official policy or position of
1:04.7	any entity aside from possibly, cash like moral hostile moral and affiliate outreach programs.
1:07.4	If indeed there are any, in fact there are none, pretty much we are responsible if you screw up.
1:10.4	You should always do your own homework and let's know. No.
1:15.0	Welcome back to the curbsideers.
1:20.0	I'm Dr. Matthew Otto here with my great friend and America's primary care physician,
1:24.6	maybe even the primary care physician, Dr. Paul Nelson Williams.
1:28.9	Hey Paul.
	...

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