chfref

HFrEF Medical Treatment

Leave a Comment / Internal Medicine Residency, PGY-2 / By

Heart Failure with Reduced Ejection Fraction (also known as systolic heart failure) is broken up into two phases of treatment:  the acute (on presentation to the hospital) and chronic (long-term to prevent re-hospitalization). Acute Exacerbation Treatment DIURETIC (urinate off all the excess fluid in a volume-overloaded patient) ACE inhibitor or Angiotensin Receptor Blocker (ARB) contraindicated if …

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Heart Failure Pathophysiology and Diagnosis

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Pathophysiology In an average healthy person, normal LV ejection fraction (LVEF):  >50% Roughly 50% of those with heart failure have reduced left ventricular (LV) function (HFrEF) Heart cannot squeeze/contract properly, and then progressively dilates. The other 50% have preserved (normal contraction) LV function (HFpEF) Cannot relax properly, leading to high diastolic (filling) pressures. New heart failure …

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