Preview: HFrEF: Guidance for Navigating an Evolving Therapeutic Landscape
In this video, William E. Chavey II, MD, MS, provides a preview of the session "Heart Failure with Reduced Ejection: Guidance for Navigating an Evolving Therapeutic Landscape," at our Practical Updates in Primary Care 2023 Virtual Series, including the usual and novel therapies, their mechanism of action, and indications and reasons why primary care is essential in the management of patients with heart failure.
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William E. Chavey II, MD, MS, is Professor Emeritus of Family Medicine at the University of Michigan (Ann Arbor, MI).
TRANSCRIPTION:
I am Dr William Chavey, Professor Emeritus of Family Medicine at the University of Michigan and I am honored to be a part of the Consultant360 program talking about heart failure with reduced ejection fraction, along with my colleague Dr Morris from Emory. Managing heart failure has gotten very complex in terms of the number and indication of pharmacotherapeutic options that are available. Dr Morris will go over all of the usual and novel therapies, along with their mechanism of action and indications. The main point I want to make is that the complexity of managing heart failure is not a reason for primary care to be excluded–it is the reason why primary care is essential. Most patients who have heart failure do not have only heart failure. They have many other conditions and they need guidance from primary care about how to manage the complexity of their medical regimen and about how to know when their symptoms may be due to heart failure or some other condition. Also, the primary care relationship is one of trust. Getting patients on guideline-directed medical therapy can be a challenge and it does indeed “take a village” to get them there. The trusting, ongoing relationships developed in primary care are essential for success.