#469 Inpatient Heart Failure

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 3 February 2025

⏱️ 91 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

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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Transcript

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0:00.0	Hey, before we get to the show, I wanted to remind you to check out our Patreon at patreon.com slash curbsiders.
0:06.6	If you haven't signed up yet, sign up now to get ad-free episodes, twice-monthly bonus episodes, and a whole bunch of other cool stuff at patreon.com slash curbsiders.
0:19.2	So, Moni, did you hear about the cardiologist who went to a team building exercise?
0:26.3	No, I did not.
0:27.7	So they were doing trust falls.
0:29.4	And the one cardiologist said to the other cardiologist, and trust him me, trust me.
0:46.4	When you have to explain it that's usually not a good sign okay i can use r j's pun he wanted us to say heart failure is a fluid situation but don't worry we are here to help
0:53.3	you stay afloat. So all the listeners
0:55.2	could, like, compare the two and let us know which one you like. This should be a poll.
0:58.9	Yeah. We'll have, yeah, we'll have a poll, guys.
1:05.0	The Curbsiders podcast is for entertainment, education, and information purposes only. And the
1:08.2	topics discussed should not be used solely to diagnose, treat, or prevent any diseases or conditions.
1:11.4	For the more of the views and statements expressed on this podcast are solely those of the host
1:13.4	and should not be interpreted to reflect official policy or position of any entity.
1:15.6	Aside from possibly, cash like a more honest, and affiliate outreach programs.
1:17.8	If indeed, there are any.
1:18.8	In fact, there are none.
1:19.6	Pretty much, we are responsible if you screw up. And welcome back to curbsiders. I'm Dr. Monia Mean, and I'm joined by my effortescent co-host, Dr. Meredith Trupitt. How are you this evening?
1:36.8	Doing great. Yeah, and on tonight show, we discuss inpatient heart failure management with our guest, Dr. Grusher,Pundroth. And before we do get to all that,
1:46.3	a quick shout out to the updates episode with Dr. Michelle Kudelson that came out not too long ago.
1:51.3	The outpatient HF-Ref and F-PF episodes, 458 and 460 respectively. Great stuff. And this episode
1:59.4	complements that well. So you get outpatient, inpatient, it's great.
	...

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