Jonathan and Lucy talk about the identification AND sensible management of heart failure with preserved ejection fraction. They discuss how we need to have a different approach than that for heart failure where the ejection fraction is reduced by a significant amount. But that the key is to consider what matters most to people and tailor our approach accordingly. It's guidelines not tramlines! The importance of ‘sick day rules’ are also discussed – stopping medicines for a short period where volume depletion or a urinary tract infection (UTI) is present.
We also meet Marjory, who has recently been started on dapagliflozin but is admitted to hospital with a raging UTI and delirium. The EMPORER study found that for every 100 people on a flozin, one of them would get a UTI due to the flozin. But this risk may be higher in older people as they are at higher risk of this happening in the first place than those included in the EMPORER study. Medicine is tricky eh?
See the tab for HFPrEF in GP Evidence to illustrate this with icon arrays.
Resources mentioned in this episode include:
Useful related resources from PrescQIPP:
