REBOOT #458 Heart Failure with Reduced Ejection Fraction - Kittleson Rules Outpatient Heart Failure Volume 1
The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
4.8 • 3.3K Ratings
🗓️ 12 May 2025
⏱️ 63 minutes
🧾️ Download transcript
Summary
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, before we get to the show, I wanted to remind you to check out our Patreon at patreon.com |
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| 0:18.9 | Hey, Paul, I seem to only get sick on weekdays. |
| 0:23.9 | Why do I feel like I've heard this one before? |
| 0:26.3 | Okay, tell me more. |
| 0:27.1 | I must have a week-end immune system. |
| 0:32.1 | Huh, I was expecting a cardiac pun, but all right. |
| 0:36.2 | Yeah, well, you know, we're, time is, time is of the essence, Paul. |
| 0:44.0 | The Curbsiders podcast is for entertainment, education, and information purposes only, and the topics discussed should not be used solely a diagnosed, treat, cure, or prevent any diseases or conditions. |
| 0:50.5 | For the more of the views and statements expressed on this podcast are solely those of the host should not be interpreted to reflect official policy or position of any entity, aside from possibly, |
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| 0:58.7 | Pretty much, we are responsible if you screw up. You should always do your own homework and let us know when we're |
| 1:01.1 | the world. Welcome back to the curbsiders. I'm Dr. Matthew Frank Guado here with my great friend and America's primary care physician, maybe even the primary care physician, Dr. Paul Nelson Williams. Hey, Paul. |
| 1:19.6 | It's certainly a primary care physician. Hey, Matt. How are you? |
| 1:22.4 | I'm doing great because this is the first of two episodes that we're doing with Dr. Kittleson, Dr. Michelle Kittleson. |
| 1:30.8 | This is on heart failure with reduced ejection fraction, or as you like to call it, Paul, |
| 1:35.8 | hef-ref. |
| 1:37.1 | Love it. |
| 1:38.2 | Love it. |
| 1:38.8 | More abbreviations. |
... |
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