Multiprofessional Critical Care Review: Adult (2023)-1: Congestive Heart Failure: Diagnosis and Management (Steven M. Hollenberg, MD, FACC, FAHA, FCCP)

1: Congestive Heart Failure: Diagnosis and Management (Steven M. Hollenberg, MD, FACC, FAHA, FCCP)

Video Transcription

Video Summary

The video transcript discusses various aspects of heart failure, including its definition, classification, and management. It highlights the importance of understanding the syndrome's underlying pathophysiology, particularly in terms of perfusion failure. The updated universal definition of heart failure considers symptoms, signs, and structural or functional cardiac abnormalities.<br /><br />The transcript also explains the new classification system, which includes stages A, B, C, and D based on the presence and severity of symptoms. It discusses the different ejection fraction classifications and the concept of heart failure remission.<br /><br />The management of heart failure involves assessing acuity, establishing the diagnosis, defining the syndrome, and correcting precipitating factors. The use of medications such as diuretics, vasodilators, ACE inhibitors or angiotensin receptor blockers, aldosterone antagonists, beta blockers, and new agents like ivabradine and angiotensin receptor neprilysin inhibitors is discussed.<br /><br />The importance of reducing pulmonary congestion, maintaining AV synchrony, optimizing blood pressure, and treating ischemia is emphasized. The use of cardiac resynchronization therapy, implantable defibrillators, and SGLT2 inhibitors is also mentioned.<br /><br />The transcript concludes with a strategic approach to heart failure management, emphasizing the importance of multidisciplinary care teams, education, and follow-up for long-term compliance. The need for a transition from inpatient to long-term care management is highlighted.

Keywords

heart failure

classification

management

pathophysiology

medications

multidisciplinary care teams

long-term care management

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