an update on heart failure and its management

1. HEARTFAILURE UPDATE

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

13. BIOMARKERS

14. FALL > 30 – DISCHARGE
< 30 – Discharge close
follow up
Rise >30 Don’t discharge

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

21. DIGITALIS

26. ACEI

31. ARBs

35. MRAs

40. BETA BLOCKERS

45. NITRATE/HYDRALIZINE

48. IONOTROPES

51. IONOTROPES – WHIPPING THE DONKEY

52. IVABRAADINE

57. NEPRILYSIN INHIBITOR

58. CANDOXATRIL OMAPATRALIT

60. 50 MG 100 MG 200 MG

68. Severe Hyperkalemia – K . 6.5 m mol/lt
Severe acidemia – ph < 7.2
Urea - 150 mg/dl
Creatinine - 3.4 mg/dl

71. LVEF , 35%
LBBB morphology
QRS duration . 130 ms
CRT-P CRT-D

76. Acute heart failure – ECLS – Extra Corporeal life support
- ECMO – Extracorporeal Membrane oxygenator
Chronic heart failure - LVADs

80. NEWER DRUGS FOR HEART
FAILURE

81. ATOMIC-CHF

83. HORIZON-HF

84. RELAX-HF

87. MANAGEMENT OF HEART FAILURE IS EXPENSIVE
TAKE ADEQUATE PRECAUTIONS WHEN HANDING OVER THE BILLS

91. THANK YOU