The Curbsiders Internal Medicine Podcast

#458 HFrEF: Heart Failure with Reduced Ejection Fraction

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Kittleson Rules Outpatient Heart Failure Volume 1

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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