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From Parts List to Assembly Instructions: How to I ...
From Parts List to Assembly Instructions: How to Implement Changes in Therapy
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Video Summary
The speaker, a heart failure cardiologist, discusses implementing therapy changes focusing on risk assessment, clinical trajectories, and hospitalization treatments. Published through an Expert Consensus Decision Pathway with the ACC, the talk is structured around these elements. Risk assessment emphasizes hemodynamic evaluation through clinical examinations and symptoms such as jugular venous pressure (JVP) and orthopnea. Clinical congestion is identified as a marker of increased risk. Three clinical trajectories are described: improving towards target, initial improvement but stalled, and not improved/worsening. Treatment strategies highlight diuretic methods, SGLT2 inhibitors, and the "recipe" for comprehensive care. Recent trials show benefits of SGLT2 inhibitors in heart failure, and the STRONG-HF trial advocates high-intensity care with rapid GDMT titration. As these strategies are adopted, patients should ideally receive at least half-dose therapy before discharge, with outpatient titration to optimize outcomes.
Asset Caption
One-Hour Concurrent Session | Changing Heart Failure to Heart Success
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Content Type
Presentation
Membership Level
Professional
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Year
2024
Keywords
heart failure
risk assessment
SGLT2 inhibitors
clinical trajectories
diuretic methods
GDMT titration
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