Heart failure - the four pillars

Rob Doughty provides an update on the four pillars of heart failure management. Are your patients on the four pillars of heart failure treatment- if not why not?

Topics

intro
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how common is heart failure?
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young people and heart failure
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principles of heart failure management
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what are the four pillars of heart failure?
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shift away from the sequential initiation of the four pillars
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can we initiate heart failure management in primary care
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evidence supporting the use of an ARNI?
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are there any special considerations when introducing beta blockers?
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mineralocorticoid receptor antagonist in heart failure
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when is a SGLT2i indicated?
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any additional treatments?
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take-home messages
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Take home messages

You are already familiar with these drug classes.
We are now learning how to used these drugs better and with greater urgency.
We must individualise, assessing again and again: The art of personalising therapies.

Resources

Addressing heart failure in primary care - bpacnz (2023 update)
2022 AHA/ACC/HFSA Heart Failure Guideline: Key Perspectives - American College of Cardiology

Presenter

Rob Doughty

Cardiologist

Rob holds the Heart Foundation Chair of Heart Health at the University of Auckland, where he runs a programme of research related to improving the understanding of the causes, prevention and treatment of heart disease in NZ. He is a cardiologist at the Green Lane Cardiovascular Service, Auckland City Hospital and The Heart Group. Current research interests include the genetic and environmental causes of premature coronary disease, cardiovascular risk management, outcomes and innovative therapies for patients with heart failure, atrial fibrillation and coronary disease.