Although modern medicine has substantially improved outcomes in patients with heart failure (HF), the associated morbidity and mortality remain unacceptably high. Patients hospitalized with HF-related issues show poor outcomes following discharge, with 1 out of 10 not surviving 3 months and nearly 1 out of 3 re-hospitalized within 1 year. Recently published guidelines from national and international organizations provide clear guidance on how to improve these outcomes, yet many recommendations are not followed. Guideline-directed medication therapy (GDMT) is essential to ensuring patients receive appropriate care. Clinicians must thoroughly understand how to diagnose and assess these patients because stages and functional classifications are necessary for determining management strategy. Up-to-date knowledge of medications and their places in GDMT is essential, as well as staying abreast of safety and efficacy data on recent FDA approvals. Two newly approved agents, sacubitril/valsartan and ivabradine, have been shown to improve outcomes in patients with HF, and clinicians will need to be educated about them. Lastly, ensuring effective transitions of care is paramount to ensuring optimal outcomes, and clinicians must be aware of barriers to care and strategies for overcoming these obstacles.
Keith C. Ferdinand, MD, FACC, FAHA, FASPC, FNLA
Gerald S. Berenson Endowed Chair
in Preventive Cardiology
Professor of Medicine
John W. Deming Department of Medicine
Tulane University School of Medicine
New Orleans, Louisiana
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Physician Continuing Education
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The following planners and managers (along with their spouses/life partners) reported no financial relationships nor relationships to products or devices with commercial interests related to the content of this CME activity: Lindsay Borvansky, Rachel Brown, PharmD, MPH, Ashley Cann, Andrea Funk, Donna Fausak, Liddy Knight, and Ashley Marostica, RN, MSN.
Keith C. Ferdinand, MD, FACC, FAHA, FASPC, FNLA
Consultant: Amgen, Boehringer Ingelheim, Eli Lilly, Janssen, Novartis, Quantum Genomics, Sanofi.
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