Acute Decompensated Heart Failure | Emplify Emergency Medicine Podcast

<< Acute Decompensated Heart Failure: New Strategies for Improving Outcomes (Pharmacology CME)

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EMplify # 4 – Acute Decompensated Heart Failure New Strategies for Improving Outcomes


EMplify # 4 –Acute Decompensated Heart Failure New Strategies for Improving Outcomes


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Show Notes

Jeff:Welcome back to the May 2017 episode of EMPlify, the podcast corollary to EB Medicine’s Emergency Medicine Practice.

Nachi: This month, we are talking about acute decompensated heart failure. We’ll be covering all aspects of the acute management, from initial ED diagnosis and treatment to novel biomarkers and new and controversial therapies.

Jeff: As always… you all should know the drill by now… We must start by acknowledging this month’s co-authors: Drs. Emily Singer Fischer and Boyd Burns of the University of Oklahoma School of Community Medicine, for all of their diligent work they put into this month’s issue. It covers 190 articles, and 10 reviews from the Cochrane database as well as the most updated guidelines from the American Heart Association and the American College of Cardiology Foundation. Not bad.

Meet the Hosts

Drs. Gupta and Nusbaum are practicing emergency physicians in two of the busiest emergency departments in New York City. Join Jeff, a former firefighter, and Nachi, a former mathematician, as they take you through the May 2018 issue of Emergency Medicine Practice: Acute Decompensated Heart Failure New Strategies for Improving Outcomes.

Nachi Gupta, MD, PhD

Jeff Nusbaum, MD

Most Important References
  • 2. * Mozaffarian D, Benjamin EJ, Go AS, et al. Heart disease and stroke statistics-2016 update: a report from the American Heart Association. Circulation. 2016;133(4):e38-e360. (Cross-sectional analysis)
  • 7. * Wakai A, McCabe A, Kidney R, et al. Nitrates for acute heart failure syndromes. Cochrane Database Syst Rev. 2013 Aug 6;(8):CD005151. (Cochrane review)
  • 28. * Liu ZP, Zhang Y, Bian H, et al. Clinical application of rapid B-line score with lung ultrasonography in differentiating between pulmonary infection and pulmonary infection with acute left ventricular heart failure. Am J Emerg Med. 2015. (Prospective single-blind study; 98 patients)
  • 39. * Horwich TB, Patel J, MacLellan WR, et al. Cardiac troponin I is associated with impaired hemodynamics, progressive left ventricular dysfunction, and increased mortality rates in advanced heart failure. Circulation. 2003;108(7):833-838. (Prospective cohort study; 238 patients)
  • 47. * Tallman TA, Peacock WF, Emerman CL, et al. Noninvasive ventilation outcomes in 2,430 acute decompensated heart failure patients: an ADHERE Registry Analysis. Acad Emerg Med. 2008;15(4):355-362. (Retrospective cohort study; 2430 patients)
  • 63. * Elkayam U, Tasissa G, Binanay C, et al. Use and impact of inotropes and vasodilator therapy in hospitalized patients with severe heart failure. Am Heart J. 2007;153(1):98-104. (Retrospective cohort study; 433 patients)
  • 77. * Abraham WT AK, Fonarow GC, et al. In-hospital mortality in patients with acute decompensated heart failure requiring intravenous vasoactive medications: an analysis from the Acute Decompensated Heart Failure National Registry (ADHERE). J Am Coll Cardiol. 2005;46:57-64. (Retrospective observational study; 65,180 patients)
  • 78. * Felker GM, Lee KL, Bull DA, et al. Diuretic strategies in patients with acute decompensated heart failure. N Engl J Med. 2011;364(9):797-805. (Prospective double-blind randomized trial; 308 patients)
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Publication Information

Emily Singer Fisher, MD; Boyd Burns, DO, FACEP, FAAEM

Publication Date

May 1, 2017

CME Expiration Date

May 31, 2020

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 1.5 Pharmacology CME credits

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CME Information

Related Articles

Evidence-Based Hospital Management Of Patients With Heart Failure With Preserved Ejection Fraction - Hospital Medicine Practice - February 2015

Current Guidelines For The Evaluation And Management Of Heart Failure (FREE) - EM Practice Guidelines Update - January 2014

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