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Hospital Medicine

Advanced Heart Failure and Transplant   

Questions discussed in this category

How long do you wait before starting a non-selective beta blocker in patients with newly reduced LVEF and recent cocaine use?
1 Answer available
What is your approach to weaning dialysis in a patient with AKI on CKD and CHF who now has resolved AKI but a history of recurrent episodes of decompensated heart failure?
1 Answer available
Is there a role of maximizing GDMT medications for patients with durable VADs?
1 Answer available
What is your preferred mechanism for venting the left ventricle in patients on VA-ECMO?
2 Answers available
When would you consider using hypertonic saline for patients with refractory acute decompensated heart failure and diuretic resistance?
1 Answer available
When would you consider using acetazolamide to augment diuresis in patients with ADHF?
1 Answer available
Do you recommend checking urine sodium 2 hours after loop diuretic administration to determine the need for dose adjustment in a patient with acute decompensated heart failure?
1 Answer available
How often and when do you consider trending NT-proBNP levels for patients with HFrEF admitted for acute decompensated heart failure? 
1 Answer available
Should all pregnant patients with newly reduced LVEF <45% be referred as soon as possible to advanced heart failure given high risk for maternal morbidity/mortality in setting of suspected peripartum cardiomyopathy?
If PPCM is suspected, what are your targeted hemodynamic goals during the delivery phase? 
1 Answer available
Would you consider adding an SGLT2 inhibitor to augment diuresis in patients with worsening renal function presenting with acute decompensated heart failure and AKI on CKD?
1 Answer available
What is your preferred PO afterload-reducing agent immediately after being weaned off inotropic support in cardiogenic shock?
1 Answer available
What would be a reasonable means of mechanical circulatory support as a bridge to AVR for patients with severe aortic regurgitation complicated by cardiogenic shock?
1 Answer available
Do you use tolvaptan for management of hyponatremia related to heart failure given the side effect profile and lack of mortality benefit seen in a previous trial?
The EVEREST Outcome trial (Konstam et al., PMID 17384437)
1 Answer available
Should we routinely incorporate iron studies into admissions for acute decompensated heart failure?
If so, how frequently should we measure iron saturation/ferritin levels post-iron infusion?
1 Answer available
What is your stepwise approach to initiating GDMT in the inpatient setting for newly diagnosed HFrEF?
1 Answer available


Papers discussed in this category

Circulation, 2022 Apr 01
2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
JACC Heart Fail, 2022 Dec
How to Initiate and Uptitrate GDMT in Heart Failure: Practical Stepwise Approach to Optimization of GDMT.
Lancet, 2020 Nov 13
Ferric carboxymaltose for iron deficiency at discharge after acute heart failure: a multicentre, double-blind, randomised, controlled trial.
ESC Heart Fail, 2018 Jan 18
Single-dose intravenous iron in Southeast Asian heart failure patients: A pilot randomized placebo-controlled study (PRACTICE-ASIA-HF).
Struct Heart, 2022 Oct 31
Left Atrial-Veno-Arterial Extracorporeal Membrane Oxygenation: Step-By-Step Procedure and Case Example.
European heart journal, 2020 Oct 14
Clinical presentation, management, and 6-month outcomes in women with peripartum cardiomyopathy: an ESC EORP registry.
J Card Fail, 2021 May 26
Captopril Versus Hydralazine-Isosorbide Dinitrate Vasodilator Protocols in Patients With Acute Decompensated Heart Failure Transitioning From Sodium Nitroprusside.
Circulation, 2022 Apr 01
2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
Journal of the American Heart Association, 2024 Jan 19
Impella Versus Intra-Aortic Balloon Pump in Patients With Cardiogenic Shock Treated With Venoarterial Extracorporeal Membrane Oxygenation: An Observational Study.
Perfusion, 2021 Jul 28
Veno-arterial extracorporeal membrane oxygenation with concomitant Impella versus concomitant intra-aortic-balloon-pump for cardiogenic shock.
Current problems in cardiology, 2022 Sep 26
Impella Versus Extracorporeal Membranous Oxygenation (ECMO) for Cardiogenic Shock: A Systematic Review and Meta-analysis.
European heart journal, 2023 Jun 09
Pre-treatment bicarbonate levels and decongestion by acetazolamide: the ADVOR trial.
The New England journal of medicine, 2022 Aug 27
Acetazolamide in Acute Decompensated Heart Failure with Volume Overload.
JACC. Heart failure, 2020 Feb 05
Real World Use of Hypertonic Saline in Refractory Acute Decompensated Heart Failure: A U.S. Center's Experience.
Medwave, 2015 Aug 27
What are the effects of hypertonic saline plus furosemide in acute heart failure?
Clinical cardiology, 2023 Jun 20
The added value of hypertonic saline solution to furosemide monotherapy in patients with acute decompensated heart failure: A meta-analysis and trial sequential analysis.
American journal of physiology. Renal physiology, 2021 May 10
Induction of renal tumor necrosis factor-α and other autacoids and the beneficial effects of hypertonic saline in acute decompensated heart failure.
The New England journal of medicine, 2001 Aug 02
Cardiovascular complications of cocaine use.

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