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Heart failure
1.
HEARTFAILURE UPDATE
2.
3.
FORWARD FAILURE BACKWARD FAILRE ACUTE
HEART FAILURE CHRONIC HEART FAILURE SYSTOLIC FAILURE DIASTOLIC FAILURE LEFT HEART FAILURE RIGHT HEART FAILURE LOW OUTPUT FAIURE HIGH OUTPUT FAILURE
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
BIOMARKERS
14.
FALL > 30
– DISCHARGE < 30 – Discharge close follow up Rise >30 Don’t discharge
15.
16.
17.
NEWER BIOMARKERS FOR THE
FUTURE • OSTEOPROTEGRIN • GALECTIN-3 • CYSTATIN-C • CHROMOGRANIN-A • ADIPOKINES • ST 2
18.
MANAGEMENT OF HEART
FAILURE THE DONKEY ANALOGY
19.
DIURETICS
20.
21.
DIGITALIS
22.
23.
24.
25.
26.
ACEI
27.
28.
29.
30.
31.
ARBs
32.
33.
34.
35.
MRAs
36.
37.
38.
39.
40.
BETA BLOCKERS
41.
42.
43.
44.
45.
NITRATE/HYDRALIZINE
46.
47.
48.
IONOTROPES
49.
50.
51.
IONOTROPES – WHIPPING
THE DONKEY
52.
IVABRAADINE
53.
54.
55.
56.
57.
NEPRILYSIN INHIBITOR
58.
CANDOXATRIL OMAPATRALIT
59.
60.
50 MG 100
MG 200 MG
61.
62.
63.
64.
65.
66.
67.
68.
Severe Hyperkalemia –
K . 6.5 m mol/lt Severe acidemia – ph < 7.2 Urea - 150 mg/dl Creatinine - 3.4 mg/dl
69.
70.
71.
LVEF , 35% LBBB
morphology QRS duration . 130 ms CRT-P CRT-D
72.
73.
74.
75.
76.
Acute heart failure
– ECLS – Extra Corporeal life support - ECMO – Extracorporeal Membrane oxygenator Chronic heart failure - LVADs
77.
78.
79.
80.
NEWER DRUGS FOR
HEART FAILURE
81.
ATOMIC-CHF
82.
83.
HORIZON-HF
84.
RELAX-HF
85.
86.
87.
MANAGEMENT OF HEART
FAILURE IS EXPENSIVE TAKE ADEQUATE PRECAUTIONS WHEN HANDING OVER THE BILLS
88.
89.
90.
91.
THANK YOU
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