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Published: June 26, 2017, 7 a.m.

Update your management of heart failure (HF) with expert tips from Cardiologist Dr. Eric Adler, Associate Professor of Medicine and Director of Cardiac Transplant and Mechanical Circulatory Support at UC San Diego. We cover how to use BNP, a simple way to examine jugular venous distention, medical therapy for heart failure, the PARADIGM-HF trial, and how to use sacubitril/valsartan (Entresto).

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Full show notes available at http://thecurbsiders.com/podcast

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Time Stamps

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00:00 Intro

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04:25 Rapid fire questions

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06:00 Palliative care and heart failure

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08:40 Book recommendation

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10:20 Advice for teachers and learners

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12:27 Clinical case of HF

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13:38 Classification and staging of HF

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17:07 Discussion of BNP

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19:35 How to perform neck vein exam for JVD

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21:20 BNP for prognosis

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23:00 BNP at hospital discharge

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26:36 Factors that affect BNP

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27:25 Initial patient counseling

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32:35 Exercise in HF

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34:00 Additional testing at time of diagnosis

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36:28 Initial medical therapy

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38:30 Discussion of diuretics and dosing

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42:50 Aldosterone antagonists

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44:30 PARADIGM-HF and entresto

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51:27 Medications to avoid in HF

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54:14 Digoxin

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57:30 Dr. Adler\u2019s take home points

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59:11 Stuart questions dosing conventions

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60:48 Outro

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Tags: arni, assistant, care, diuretics, doctor, education, failure, family, foam, foamed, health, heart, hospitalist, hospital, internal, internist, neprilysin, nurse, management, medicine, medical, physician, practitioner, primary, resident, sacubitril, student