#67 Salt Restriction in Heart Failure: Mind the Gap Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 20 May 2020

⏱️ 22 minutes

🔗️ Recording | iTunes | RSS

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Summary

Let's dive deeper into the dogma of salt restriction in heart failure! Show notes, transcript and references: https://www.coreimpodcast.com/2020/05/20/salt-restriction-in-heart-failure-mind-the-gap-segment/ (https://www.coreimpodcast.com/2020/05/20/salt-restriction-in-heart-failure-mind-the-gap-segment/) Get CME-MOC credit (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) with ACP! Time Stamp * 01:37 Sodium restriction guidelines * 07:13 Current data in outpatient data * 11:32 Do inpatient studies show signal? * 13:44 Physiology behind sodium balance * 16:27 Take away and clinical applicability 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 this episode will count for CME Credit with the American College of Physicians
0:05.2	so click on the URL in the show notes answer three questions and get CME Credit.
0:09.8	So with that let's get started.
0:11.8	Today we'd like to delve into an issue many of you may consider so obviously true, so set in
0:17.1	medical dogma that you might not even know it's controversial.
0:21.0	Are we going to encourage smoking?
0:23.0	Or maybe we can give antibiotics to anybody that has a URI.
0:27.0	Okay, Steve, not that set in the dogma, but another topic near and dear to my and many of our patient's hearts.
0:33.6	I would say this isn't a discussion for the faint of heart, but it is exactly that.
0:39.5	And the first of many bad puns from Armand.
0:43.0	Who can resist?
0:44.7	But yes, we are going to be talking about big bad heart failure today.
0:49.0	How many times has dietary indiscretion been blamed for a hospital admission for a heart failure exacerbation.
0:55.8	Pretty much every admission. But why exactly do we tell them to avoid salt?
1:00.8	I just thought it sort of made sense, right?
1:04.0	Yeah, I thought so.
1:05.0	Salt leads to fluid retention and then we have to give them diuretics to get volume off.
1:09.0	So obviously it's good for patients with heart failure to eat less salt in the first place, right?
1:14.4	What if we told you everything you've learned about salt and heart failure is a lie?
1:19.2	Everything?
1:20.5	Everything. Okay, okay, maybe not everything.
1:25.0	Armand's a little prone to sensationalism.
	...

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