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HEARTFAILURE UPDATE
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
BIOMARKERS
FALL > 30 – DISCHARGE
< 30 – Discharge close
follow up
Rise >30 Don’t discharge
NEWER BIOMARKERS
FOR THE FUTURE
• OSTEOPROTEGRIN
• GALECTIN-3
• CYSTATIN-C
• CHROMOGRANIN-A
• ADIPOKINES
• ST 2
MANAGEMENT OF HEART FAILURE
THE DONKEY ANALOGY
DIURETICS
DIGITALIS
ACEI
ARBs
MRAs
BETA BLOCKERS
NITRATE/HYDRALIZINE
IONOTROPES
IONOTROPES – WHIPPING THE DONKEY
IVABRAADINE
NEPRILYSIN INHIBITOR
CANDOXATRIL OMAPATRALIT
50 MG 100 MG 200 MG
Severe Hyperkalemia – K . 6.5 m mol/lt
Severe acidemia – ph < 7.2
Urea - 150 mg/dl
Creatinine - 3.4 mg/dl
LVEF , 35%
LBBB morphology
QRS duration . 130 ms
CRT-P CRT-D
Acute heart failure – ECLS – Extra Corporeal life support
- ECMO – Extracorporeal Membrane oxygenator
Chronic heart failure - LVADs
NEWER DRUGS FOR HEART
FAILURE
ATOMIC-CHF
HORIZON-HF
RELAX-HF
MANAGEMENT OF HEART FAILURE IS EXPENSIVE
TAKE ADEQUATE PRECAUTIONS WHEN HANDING OVER THE BILLS
THANK YOU

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