Heart failure: What's new

Date Published: 
Wednesday, October 19, 2022

In this episode, Rob Doughty focuses on what's new in New Zealand's treatment of heart failure.



00:01 intro
01:10 case study
01:56 terminology and definitions
04:33 why is it important to consider ejection fraction
06:18 what more do we want to know? Why it’s important to classify his heart failure
09:55 what are we looking for during the examination?
13:23 what tests should we consider?
15:48 further investigations
16:44 adding another medication- what should we choose and why?
21:15 protocol for switching medications
22:25 would T2D change our management?
23:33 option to self-fund
24:42 evidence base for SGLT-2i use in heart failure?
28:39 how do we introduce them to his current medication regime?
29:35 what about monitoring?
31:05 what else do we need to consider?
33:46 final option - consideration of heart transplantation
35:18 take-home messages


Take-home messages

  • Heart failure is modifiable.
  • Therapeutic interventions can make a huge difference over the years ahead for individuals.
  • Polypharmacy - Medication classes mean a lot.
  • It’s all about the dose.
  • Don’t forget the AF – feel the pulse.



Rob Doughty

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.

This webinar is supported by an unrestricted educational grant from:

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.