Hu Said: Cardiology Board Review Series

3.08 Acute Heart Failure Decompensation


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In this episode, we review the presentation and management of acute heart failure decompensation (ADHF). Why is venous dilation with IV nitroglycerin beneficial in patients with ADHF? What are the four quadrants of the Forrester-Stevenson classification? What is the relative conversion between oral and IV loop diuretics? When is a right heart catheterization indicated? What is the difference between transferrin, total iron binding capacity (TIBC), ferritin, and transferrin saturation? How are absolute iron deficiency and functional iron deficiency defined? What is the role of oral versus intravenous iron in heart failure? What are the clinical criteria for diagnosis of cardiogenic shock, and the invasive hemodynamic criteria for diagnosis of cardiogenic shock? What cutoffs in pulmonary artery pulse index (PAPi), central venous pressure to wedge ratio characterize right ventricular shock? What are the A-B-C-D-E stages of shock? What are the INTERMACS 1 through 7 profiles of shock? Tune in for answers to these questions.


Difficulty Level: Easy


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Hu Said: Cardiology Board Review SeriesBy Ruey Hu, MD, MPH

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