#458
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- เผยแพร่เมื่อ 10 ก.พ. 2025
- Kittleson Rules Outpatient Heart Failure Volume 1
Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.
I was diagnosed with heart failure with a ejection fracture of 11. I was 46 at the time and had never been sick and was a ex weight-lifter my max was 365 lbs.I had been sick for about 2 months and would not go to the doctor. I finally went to Harborview Hospital emergency room in Seattle,Washington. At that time was told I was in heart failure stayed 12 days in the hospital. Found out I had a blood clot in my left ventricle, both lungs and clots in both legs from my groin to my ankles. The clot did permanent damage to my heart.I am 68 now and my ejection fraction is 25-30 percent.I walk 3 miles everyday. When I see my heart doctors they always ask me the same thing.Can I sleep on my back and can I walk.I tell them that I can sleep in any position and I walk 3 miles a day. The doctors reply be that I should not be able to because of my heart condition.When I was sick in 2003 one doctor told me I had about 5 years to live. Here it is 2024 and I am still here but I do feel like I am on borrowed time. So everybody out there with a heart condition never give up and keep a positive attitude.
Beautiful story, thank you!
I am a 57 years old heart failure patient too after heart attack in feb 2022....my ejection fraction is 35%...sometimes feel shortness of breath. Nearly lost 10 kgs weight immediately after heart attack. Had severe depression and stress after attack.....muscles have become loose.....i always feels like i may gave cardiac arrest anytime specially during my sleep.....i was always careless towards health....I smoked for nearly 30 years .....didn't did any type of exercise after 19 years....most of the time stressed life....casual alcoholic.....frequent street food.....road side tea etc....avoided symptoms before heart attack.....went to 2/3 local physicians when had high blood pressure and shortness of breath....but they didn't detect , diagnosed and checked properly.....one physician simply prescribed me asthma medicines.. .after one i had major heart attack....i was so unlucky that i reached a proper heart hospital after 7 hours of heart attack......inspite of living near capital city of india.....my bad luck 😢😢😢
Great story mate I've got heart failure with a EF of 17% you have given me hope
Great episode, great job Curbsiders team. I think you're right to keep having Dr. Kittleson back. She's a great educator. Thanks for getting the youtube option set up too.
LOVE Dr. Kittleson-can’t wait for next week’s episode!!
She is an amazing speaker!
Great talk!!
Very informative!!
Thanks for the talk fellas 👍🏾🤓✊🏾😎
That hypotension wisdom is a bit controversial but actually it always crosses my mind when I treat HFrEF patient. Great talk
As a registered nurse who has just received news that I have low EF and a dilated LV, this video was fascinating. Thank you! Now if I can just get in to see the cardiologist!
Amazing talk!
Very best
Can I get in line for some peanut butter cookies !!!!!😂😂😂🤤🤤🤤🤤🤤🤤
Great talk. Can I ask something please?
A patient on optimal GDMT, but also now having a CRT-D in situ, has now developed AF. Not decompensated.
Would increasing their beta blockers help decrease AF load?
Lay off the caffeine Doc.