Dr Paul Ryan will discuss the role of beta blockers in patients with chronic heart failure, their mechanism of action & starting treatment with beta blockers.

Dr Paul Ryan will discuss the prevalence & causes of heart failure, ejection fraction &  prognosis for those patients with heart failure. 

Dr Paul Ryan will discuss ACE inhibitors' mechanism of action, the practicalities of starting patients on ACE inhibitors & the four main adverse effects associated with ACE inhibitors.

Dr Paul Ryan will discuss the non-pharmacological management in patients with heart failure with reduced ejection fraction & the steps of pharmacological management. He will also look at the current international guidelines on the management of patients with heart failure.

Dr Paul Ryan will discuss the introduction to solid foods in babies with GORD, red flags associated with GORD & risk factors for GORD.

Dr Paul Ryan will discuss the history, exam & investigations for heart failure. He will also briefly discuss the New York Heart Association functional classification.

Dr Paul Ryan will discuss NOAC dose adjustments in non-valvular atrial fibrillation.

Dr Paul Ryan will discuss the general management of GORD in both breastfed and bottle-fed babies, along with the pharmacological therapy used to manage GORD.

Dr Paul Ryan will discuss warfarin, switching from warfarin to NOACs & anticoagulation in older patients with Atrial Fibrillation.

Dr Paul Ryan will discuss the ESC guideline 2020 on Atrial Fibrillation & Antiplatelets and bleeding & interactions with NOACs.