Examining adherence to guideline-directed medical therapy for patients with HFrEF and HFmrEF post-cardiac surgery: A single-center cross-sectional study | ||||
| Cardiovascular Research Prove Journal | ||||
| Volume 8, Issue 1, June 2024 PDF (986.7 K) | ||||
| Document Type: Abstracts | ||||
| DOI: 10.21608/cvrepj.2024.367314 | ||||
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| Abstract | ||||
| Treatment of heart failure has evolved over the last few years. The initiation of the four pillars of HF medical therapy is emphasized in international guidelines. Guideline-Directed Medical Therapy (GDMT) for HFrEF has reduced morbidity, mortality, and hospital admissions. A focused update published in 2023 emphasized the role of sodium-glucose cotransporter-2 inhibitors (SGLT2i) initiation in both HFrEF and HFmrEF. Cardiopulmonary bypass during cardiac surgery is associated with alteration in the homeostasis. This includes volume overload, acute kidney injury, low cardiac output, and heart block. This usually hinders the early initiation of GDMT. | ||||
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