The Curbsiders Internal Medicine Podcast · The Curbsiders Internal Medicine Podcast

REBOOT: #469 Inpatient Heart Failure

·1 hr 32 min·5 clips
Why decongestion alone can fail in hypertensive heart failure patients without addressing afterload reduction.
This episode features Dr. Grusher Pandrath discussing inpatient heart failure management, covering diagnosis, diuretic strategies, guideline-directed therapy initiation, and handling cardiogenic shock. Key insights include the importance of afterload reduction alongside diuresis, early SGLT2 inhibitor use, and optimizing discharge medications to reduce readmissions.

As heard by us

A practical heart failure refresher that favors bedside judgment over slogans.

This episode treats heart failure less like a slogan and more like a bedside judgment call: decongest the patient, think through afterload, and decide where newer drugs fit when blood pressure is already part of the problem.

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Why you'd press play

A bedside heart-failure reset for when decongestion, afterload, and the newer add-on meds all feel in play.

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