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Sanjiv J. Shah, MD
HFpEF
Patients with chronic right-sided HF are typically not preload dependent. Need to diurese aggressively. Our goal is to make the interventricular septum bow towards the RV and avoid/decrease septal flattening
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Case: 70 yo woman w/paroxysmal AFib, HTN, T2DM hasn’t seen MD in a few years admitted w/acute decompensated HF. ECG with low volts. Echo: LVEF 32%, LV wall thickness, &
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#HFpEF pearl of the day: Bike stress echo is very helpful in the evaluation of HFpEF. In 1 test you can diagnose HFpEF (E/e') and evaluate for CAD (WMA), health
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Case: 84 yo woman w/long-standing HFpEF admitted for volume overload. Baseline Cr 2.0 mg/dl. Diuresed 1L on hospital day #1 and Cr to 2.5 mg/dl. Inpatient team stopped diuresis.
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#HFpEF pearl of the day: HFrEF is failure of the LV, HFpEF is failure of the LA. If you want to successfully manage HFpEF in your patients, you need to
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