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Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…chronic kidney disease (CKD), and multiple non cardiovascular conditions are frequent features. A proposed disease pathway involves systemic and coronary microvascular endothelial inflammation associated with…

ACE Inhibitors: Initiation, Titration and Creatinine Monitoring

…ACE inhibitors) constitute a cornerstone in the management of cardiovascular disease, heart failure, and chronic kidney disease (CKD). These agents interfere with the renin angiotensin…

Type 2 Diabetes and Cardiovascular Risk Management

…and kidney disease All patients with diabetes should be assessed for: ASCVD Severe target organ damage (TOD) HF AF CKD Other clinically relevant cardiovascular disease…

Incretins in Cardiometabolic Medicine: Leveraging GLP-1, GIP, and Glucagon Receptor Agonism for Cardiovascular Risk Reduction

…heart failure with preserved ejection fraction (HFpEF), chronic kidney disease (CKD), and peripheral artery disease (PAD). Figure 1 (below) shows weight loss effects of novel…

Blood pressure

…Diabetes 120–130 70–79 Chronic kidney disease 130–139 70–79 Avoid a systolic pressure < 120 mmHg and a diastolic pressure < 70…

Resistant Hypertension: Evaluation and Treatment

…risk of end stage renal disease; Increased mortality; and A higher probability of secondary hypertension. Patients may also have comorbid features associated with a greater…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…treatment with an angiotensin receptor–neprilysin inhibitor. Clinical Applications Natriuretic peptides have three principal roles: Supporting or excluding the diagnosis of HF Estimating disease severity…

Complications of Coronary Angiography and Vascular Access Management

…shock. Patient related and procedural risk factors The risk of adverse events is increased by: advanced age; diabetes mellitus; chronic kidney disease or renal failure…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…cause of symptoms. CCS is a clinical syndrome rather than a permanently stable state. Patients may remain stable for prolonged periods, but chronic coronary disease…

Immediate Management of Type A and Type B Aortic Dissection

…Chronic: more than 90 days. The central clinical danger is progressive aortic wall disruption, rupture and compromise of branch vessels. Type A disease may cause…

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