REBOOT #458 Heart Failure with Reduced Ejection Fraction - Kittleson Rules Outpatient Heart Failure Volume 1

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 12 May 2025

⏱️ 63 minutes

🔗️ Recording | iTunes | RSS

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Summary

We’re taking a break this week, but we’ll be back next week with a brand-new episode.

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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0:12.1	and a whole bunch of other cool stuff at patreon.com slash curbsiders.
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,
0:55.3	cash like more honest, and affiliate outreach programs. If indeed, there are any. In fact, there are none.
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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