Haider Warraich
speaker
683 appearances
3 recordings
1 series
first heard Oct 2020
last heard Dec 2021
Haider Warraich’s voice in public audio — every appearance, attributed to the second.
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Appearances
So you may have to premedicate.
If the decision is to stop an LVAD in a patient before they pass away, home may not be the right place for that type of patient.
But one of the things that I feel, and this is, I think, true in cardiology, is that a lot of times we focus on these advanced therapies.
But advanced therapies are such a small part of the pool of patients with heart failure, less than 1%, that we forget that, well, 50% of your heart failure patients have HFPEF.
So these are patients you don't even have any oral therapies for that can modify their disease course.
our
Yeah, we had diastolic heart failure, but that's all gone out.
So just a brief primer.
So heart failure is a clinical diagnosis of a condition in which essentially the heart is unable to meet the needs of the body.
Traditionally, even heart failure was essentially characterized by patients who had reduced ejection fraction.
Ejection fraction, essentially how hard your heart is squeezing.
And if that squeeze becomes limited, and that's assessed by echo or other imaging modalities, then you have what's called HEF-REF, which is short for heart failure with reduced ejection fraction.
This is the group of patients.
Every time we have all these heart failure therapies, we have a bonanza of treatments for these patients that can modify their quality of life and their survival.
So we have medical therapies.
We have devices such as defibrillators and other types of special pacemakers.
These patients are candidates for left ventricular cyst devices and so on and so forth.
So these patients have a plethora of interventions that we can give that can really
outlook.
But then what we've seen is over time
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