HF pt 6

Question 1

what is the recommended tx of HFpEF?

Answer 1

diuretics prn
SGLT2is yes?
everything else is yes but even more iffy –> ARNI, MRA. ARB

Question 2

what other disease state should be managed to help improve HFpEF symptoms?

Answer 2

atrial fibrillation due to atrial kick that occurs in HFpEF

Question 3

when should ARBs, ARNIs, MRAs. and ACEis be considered in HFpEF?

Answer 3

considered to decrease hospitalization for selected pts with HFpEF, especially at the lower end

Question 4

what do ACEis do in HFpEF tx?

Answer 4

improve exercise tolerance and reduce hospitalization
does not reduce mortality

Question 5

what do ARBs do in HFpEF tx?

Answer 5

may reduce hospitalization but not mortality

Question 6

what do MRAs do in HFpEF tx?

Answer 6

may improve diastolic function and reduce remodeling
may be used to reduce hospitalization

Question 7

what is the role of digoxin in HFpEF?

Answer 7

no affect on mortality or hospitalization so it may make things worse

Question 8

what is the role of nitrates in HFpEF?

Answer 8

should be limited to use in pts with HFpEF who may need treatment for symptomatic CAD