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  • CCF Opd

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    zacks nyirongo
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    The document outlines goals of therapy and medications for treating heart failure with reduced ejection fraction (HFrEF) based on symptom severity. The goals are to identify the cause, control heart rate/blood pressure/volume status, use guideline-mandated medications, and decrease hospitalizations and mortality while increasing quality of life. Medications and interventions recommended include ACE inhibitors, beta blockers, diuretics, statins, aspirin, anticoagulants, surgery, ICDs, CRT, and transplant depending on the class of symptoms from asymptomatic to refractory.

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    Cardiovascular conditions

    Original Title

    CCF_OPD

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    The document outlines goals of therapy and medications for treating heart failure with reduced ejection fraction (HFrEF) based on symptom severity. The goals are to identify the cause, control heart rate/blood pressure/volume status, use guideline-mandated medications, and decrease hospitalizations and mortality while increasing quality of life. Medications and interventions recommended include ACE inhibitors, beta blockers, diuretics, statins, aspirin, anticoagulants, surgery, ICDs, CRT, and transplant depending on the class of symptoms from asymptomatic to refractory.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    0 views1 page

    CCF Opd

    Uploaded by

    zacks nyirongo
    The document outlines goals of therapy and medications for treating heart failure with reduced ejection fraction (HFrEF) based on symptom severity. The goals are to identify the cause, control heart rate/blood pressure/volume status, use guideline-mandated medications, and decrease hospitalizations and mortality while increasing quality of life. Medications and interventions recommended include ACE inhibitors, beta blockers, diuretics, statins, aspirin, anticoagulants, surgery, ICDs, CRT, and transplant depending on the class of symptoms from asymptomatic to refractory.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    CCF○HFrEF The University of Zambia

    Association of Family
    Physicians of Zambia

    School of Public Health ○ Family Medicine MMed Program

    Goals of therapy
    B/I Identify cause
    Control HR/BP/volume status
    Asymptomatic Guideline mandated medications
    Decrease hospitalizations
    • ACEI Decrease mortality
    • SGLT-2 inhibitor Increase quality of life
    Medications if indicated
    Statin if ASCVD present or risk ≥10%
    C/II-III Aspirin if clinical ASCVD present
    Symptomatic Anticoagulation if LV clot, a-fib
    or previous embolic event
    • ACEI Interventions if indicated
    • SGLT-2 inhibitor Surgery: revascularization or valve surgery
    • Beta blocker ICD: Class I-III or C with an EF≤30% and have life
    • Furosemide expectancy >6 months, ↓sudden death, ↓mortality
    • *Spironolactone CRT: ≤35%, QRS>150, symptoms despite max medical
    therapy. ↑QOL, ↓mortality, ↓hospitalizations
    Transplant
    D/IV
    Refractory
    • Transplant
    • Chronic iontropes
    • MechanicalCirculatorySupport
    • Experimental
    interventions
    • Palliative care
    • ICD deactivation

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