REBOOT: #469 Inpatient Heart Failure

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.3K Ratings

🗓️ 9 February 2026

⏱️ 92 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

We have another classic episode for you. 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)

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 listeners, you're about to hear a curbsiders classic episode. If you heard it the first time,
0:04.8	listen again for that space learning. But if you haven't heard it yet, then you are in for a treat.
0:09.3	So without further ado, enjoy. And don't forget to check out our Patreon at patreon.com slash
0:14.9	curbsiders. If you want ad-free episodes, bonus episodes, and a whole bunch of other cool stuff,
0:20.3	patreon.com slash curbsiders.
0:25.3	So, Moni, did you hear about the cardiologist who went to a team building exercise?
0:32.6	No, I did not. So they were doing trust falls. And the one cardiologist said to the other
0:37.2	cardiologists, and trust him me, trust falls. And the one cardiologist said to the other cardiologist,
0:38.3	and trust him me, trust me.
0:41.3	When you have to explain it, that's usually not a good sign.
0:50.3	Okay, I can use RJ's pun.
0:58.5	He wanted us to say heart failure is a fluid situation, but don't worry.
1:00.3	We are here to help you stay afloat.
1:03.9	So all the listeners could, like, compare the two and let us know which one you like.
1:04.9	This should be a poll.
1:05.4	Yeah.
1:07.3	We'll have, yeah, we'll have a poll, guys. The Curbsiders podcast is for entertainment, education, and information purposes only, and the topics discuss should not be used solely diagnosed, treat, or prevent any diseases or conditions. For the more of the views and statements expressed on this podcast are solely those of those and should not be interpreted to reflect official policy or position of any entity aside from possibly cash like moral, more honest, and affiliate outreach programs. If indeed there are any, in fact, there are none. Pretty much we are responsible if you screw up. You should always do your own homework and let us know when we're.
1:28.4	And welcome back to curbsiders. I'm Dr. Monia Mean, and I'm joined by my effervescent co-host, Dr. Meredith Trupitt.
1:42.2	How are you this evening? Doing great. Yeah, and on tonight show, we discuss inpatient failure management with-host, Dr. Meredith Rupert, how are you this evening? Doing great. Yeah, and on tonight
1:45.0	show, we discuss inpatient heart failure management with our guest, Dr. Grusher Pundroth. And before we do
1:51.4	get to all that, a quick shout out to the updates episode with Dr. Michelle Kittleson that came out
1:56.4	not too long ago, the outpatient H-R-Ref and F-PF episodes, 4-58 and 460 respectively.
	...

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