Revisiting the management of heart failure with reduced ejection fraction

Authors

  • Abdullah Al Shafi Majumder Professor. National Institute of Cardiovascular Diseases

Keywords:

heart failure with reduced ejection fraction, devisiting the management of heart failure

Abstract

Management of HFrEF include: life style changes : diet. weight management, exercise , pharmacotherapy : “ Fantastic four -  RAAS inhibitors, Beta-blockers, SGLT 2 inhibitors, MRAs”; diuretics – symptom relief; Ivabridine ; Digoxin in selected patients; Vericiguat, Omicamtiv, Device therapy : CRT; ICD, Interventional : MV repair, Coronary angioplasty and Surgical – CABG; Repair or replacement of diseased valves, LV aneurysmectomy etc. Adjunct therapy in HFrEF are correction of iron deficiency: Inj ferric carboxymaltose, management of thyroid dysfunction and management of any associated risk factors. Periodic follow-up : clinical assessment, LV  dimension & systolic function by echocardiography; NT-pro BNP level ; Renal function & S electrolytes.

Bangladesh J Medicine 2024; Vol. 35, No. 2, Supplementation: 135

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Published

2024-06-06

How to Cite

Revisiting the management of heart failure with reduced ejection fraction. (2024). Bangladesh Journal of Medicine, 35(20), 135. https://doi.org/10.3329/bjm.v35i20.73402

Issue

Vol. 35 No. 2 (Supplement' May 2024)

Section

Abstract Presentation

How to Cite

Revisiting the management of heart failure with reduced ejection fraction. (2024). Bangladesh Journal of Medicine, 35(20), 135. https://doi.org/10.3329/bjm.v35i20.73402