Скачать или смотреть Declutter The Heart Failure Management beyond 4 pillars “Awesome Eight !” – FCM, Ivabradine,

" Declutter The Heart Failure Management beyond 4 pillars- “Awesome Eight !” – FCM, Ivabradine, Vericiguat and Digoxin!"

This same 45 years old male diabetic Patient with past history of AKI and UTI now presented with dyspnea class II, and weight loss of 4 kg. His pulse is 90 bpm with BP 130/90 mmHg. His Serum Creatinine is now stable and is 1.95 with eGFR of 28 ml/kg/m2 and potassium of 4.2 mg%. He was administered IV Frusemide twice on 2 consecutive nights for nocturnal cough in emergency but had refused hospitalisation then. He is currently on 20mg of Frusemide with 25 mg of Spironolactone apart from 10 mg of SGLT2-I , 100 mg bd of ARNI and 10 mg of Bisoprolol. His recent HBA1C is 6.0 mg% with recent FBS/PPBS of 150/190 mg% on DPP4-I, Metformin and Voglibose combination twice a day apart from Dapagliflozin 10 mg. His recent Echocardiography shows LVEF – 30% with LVDD/DS 58/49 mm with grade III diastolic dysfunction with Severe MR (40%). His haemoglobin is 12gm%. His last NT-pro-BNP was 960 pg/dl. His UACR was measured 450 mg/gm.