The Podcast by KevinMD

Bolus or drip? What the DOSE trial actually showed about heart failure


Listen Later

What if one of the most common escalation strategies for acute heart failure doesn't actually improve outcomes? Internal medicine physicians Benjamin P. Geisler, Jeffrey L. Greenwald, and Kathy May Tran, editors of 50 Studies Every Hospitalist Should Know, join the show to break down what the DOSE trial really tells us about managing diuretics on the wards. Based on their KevinMD article "Managing acute heart failure: evidence from the DOSE trial," they explain why continuous furosemide infusions showed no clinical advantage over intermittent boluses for decongestion, and what that means for your daily practice. You will hear how headline-driven medicine can mislead clinicians, why knowing who was excluded from a trial matters as much as the results, and how evidence-based medicine teaching is evolving in the age of AI. Whether you are a hospitalist, a trainee on the wards, or a primary care physician managing heart failure transitions, this episode will sharpen how you read and apply the studies that shape patient care.

Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation.

For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol.

VISIT SPONSOR → https://kevinmd.com/cholesterol

Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

...more
View all episodesView all episodes
Download on the App Store

The Podcast by KevinMDBy Kevin Pho, MD

  • 4.8
  • 4.8
  • 4.8
  • 4.8
  • 4.8

4.8

241 ratings


More shows like The Podcast by KevinMD

View all
TED Radio Hour by NPR

TED Radio Hour

21,954 Listeners

Hidden Brain by Hidden Brain, Shankar Vedantam

Hidden Brain

43,687 Listeners

Tara Brach by Tara Brach

Tara Brach

10,573 Listeners

Good Life Project by Jonathan Fields / Acast

Good Life Project

3,375 Listeners

EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

EMCrit FOAM Feed

1,877 Listeners

JAMA Clinical Reviews by JAMA Network

JAMA Clinical Reviews

504 Listeners

The Chalene Show | Diet, Fitness & Life Balance by Chalene Johnson

The Chalene Show | Diet, Fitness & Life Balance

7,249 Listeners

White Coat Investor Podcast by Dr. Jim Dahle of the White Coat Investor

White Coat Investor Podcast

2,455 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,374 Listeners

The Dr. Hyman Show by Dr. Mark Hyman

The Dr. Hyman Show

9,194 Listeners

The Peter Attia Drive by Peter Attia, MD

The Peter Attia Drive

8,043 Listeners

The Dr. Tyna Show by Dr. Tyna Moore

The Dr. Tyna Show

1,685 Listeners

The Mel Robbins Podcast by Mel Robbins

The Mel Robbins Podcast

20,222 Listeners

Wiser Than Me with Julia Louis-Dreyfus by Lemonada Media

Wiser Than Me with Julia Louis-Dreyfus

10,883 Listeners

The Jefferson Fisher Podcast by Civility Media

The Jefferson Fisher Podcast

8,482 Listeners