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@kfgibran
Internal Medicine. #FOAMed #Tweetorial
May 10, 2021 • 7 tweets • 3 min read
🫀HEART FAILURE NICE guideline

•HFpEF (preserved EF >50%, diastolic HF)
•HFmrEF (EF 41-49%, midrange)
•HFrEF (reduced EF <40%,systolic HF)

All pt offer diuretic for symptoms relief (fluid congestion)

#tweetorial Heart Failure 🏥 overview management

•HFpEF- manage comorbid eg HPT, AF, IHD, dm

•HFrEF
1st line
-Acei (rp before and after dose increment. Alternative hydralazine & nitrate)
-Beta blocker
-MRA mineralocortocoid antagonist eg Eplerenone, spironolactone