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

Video Transcription

Video Summary

In this video, physician assistant Sandy McCrary presents three case studies of patients with different types of heart failure. The first case study involves a 76-year-old male with ischemic cardiomyopathy who presented with shortness of breath and chest pain. He underwent PCI with a drug-eluting stent and had an echocardiogram showing an ejection fraction of 30-35%. Medication adjustments were made, and his ejection fraction improved to 40-45% over time.<br /><br />The second case study features a 57-year-old male with non-ischemic cardiomyopathy and tachycardia-mediated symptoms. He was on maximum tolerated doses of medications, but his ejection fraction remained below 35%. He underwent successful DC cardioversion after being treated with anticoagulation therapy.<br /><br />The third case study involves a 60-year-old female with heart failure with preserved ejection fraction (HEF-PEF) due to obesity. She was managed with diuretics and medication adjustments, and her symptoms improved.<br /><br />Throughout the video, Sandy emphasizes the importance of optimal medical therapy, medication titration, lifestyle changes, and patient education. These case studies showcase the individualized approach to managing heart failure patients and the potential for improvement in cardiac function with guided therapy.

Keywords

physician assistant

heart failure

case studies

ischemic cardiomyopathy

ejection fraction

medication adjustments