Heart Failure Essentials for Advanced Practice Providers-Heart Failure Case Study

Heart Failure Case Study – Michelle Weaver

Video Transcription

Video Summary

In this video, Michelle discusses a case study about a 65-year-old female named Ann Smith who has heart failure. Ann has a history of hypertension, hyperlipidemia, and diabetes. She presents with symptoms such as shortness of breath, lower extremity edema, and positive JVP. Her labs and echocardiogram show elevated BMP and an ejection fraction of 35%. The goal for managing Ann's heart failure is to determine the cause and start guideline-directed medical therapy. This includes medications like ARNI, beta blockers, and Spiral Lactone, with careful monitoring of potassium, electrolytes, blood pressure, renal function, and labs. If Ann's ejection fraction is still less than 35%, she should be considered for an ICD. If the initial therapy does not work, advanced therapies like LVAD or heart transplant may be considered. Remote monitoring should also be considered for Ann.

Keywords

heart failure

case study

Ann Smith

hypertension

hyperlipidemia