Menu Icon Search
Close Search

What Medical Students Should Know About the 2017 Heart Failure Guideline Changes

Created August 17, 2017 by Guideline Central
Share

As medical students, many of you are already aware that cardiovascular disease is the leading cause of death in US. Heart Failure (HF) prevalence alone has increased from 5.7 million to 6.5 million in Americans ≥ 20 years of age, and projections show prevalence will increase by 46% from 2012 to 2030 resulting in more than 8 million people 18 years of age and older with HF. For this reason, we are going to take a closer look at the major new recommendations from the ACC/AHA/HFSA 2017 Guidelines for Managing Patients with Heart Failure.

ACC and AHA have always been the “go to” sources for evidence-based best practices in the areas of heart failure and other cardiovascular diseases. The societies have published numerous iterations and updates to their heart failure guidelines over the last 20+ years, with the most recent update being released in May 2017. Using newly published evidence and study data, the 2017 update adds, elaborates on, and/or replaces a number of sections found in their last major heart failure guideline from 2014.

Let’s take a look at the most important changes you need to know about. The following guideline excerpts were provided compliments of Guideline Central:

1. The guidelines now prioritize prevention and also shine a brighter light on patients at risk for developing heart failure – people with hypertension, diabetes, or coronary artery disease.

2. In stable patients with mild to moderate heart failure and an adequate blood pressure and are otherwise tolerating standard therapies well, ACE inhibitors or ARBs should be switched to ARNI (sacubitril-valsartan). This is important, as other recent studies have shown that over 28,000 deaths could be prevented each year by simply following this one recommendation.

3. The optimal blood pressure numbers have once again been updated. This could be a good indication that the upcoming ACC/AHA Hypertension guidelines will also follow this new target.

4. New emphasis on comorbidities, including anemia and sleep disordered breathing.

Guideline Central has summarized these, and other clinical guidelines into a quick reference format which they are offering free to SDN members. The guideline summaries will allow you to quickly identify and understand the key points and decision variables. Not only will it save you time, but it will help you with your rotations and contribute to improved patient outcomes when the guidelines are followed.

Click here to claim your free top 20 guidelines!

*An SDN Partner Site, Guideline Central is a separate entity from SDN and has a separate privacy policy. Any information you provide on their website will fall under Guideline Central’s private policy.

Have feedback? Suggestions? Ideas for a column or someone to interview? Email [email protected]

// Share //

// Recent Articles //

  • Applying for Residency

  • Posted September 25, 2017 by Brent Schnipke
  • Last month I wrote about the early part of 4th year as a kind of second-look for medical students – an occasion for confirming specialty choice, or perhaps changing one’s mind altogether. For me, it has been an enjoyable and enlightening process to revisit the specialties I was most interested in and examine them more...VIEW >
  • Rejection Happens

  • Posted September 22, 2017 by The Short Coat Podcast
  • “When you’re following your inner voice, doors tend to eventually open for you, even if they mostly slam at first.”― Kelly Cutrone Related...VIEW >
  • Quiz of the Week: What Audible Finding is Consistent With This Presentation?

  • Posted September 22, 2017 by Figure 1
  • A 40-year-old male presents to the emergency department with sharp chest pain and palpitations. He says the pain is worse when he lies down and is exacerbated by coughing, but improves when he moves to a seated position. He was recently diagnosed with systemic lupus erythematosus (SLE) after investigation for recurrent cyanotic discoloration and numbness...VIEW >
  • Medical, +1 MORE
  • Planning and Time Management for Boards Success

  • Posted September 22, 2017 by Boards Boot Camp
  • No matter how you plan on preparing for boards, getting started sooner than later is a good policy to apply. First, when should you start prepping for boards? The quick answer is DAY 1 of medical school – the better your foundation in med school, the more you will be able to build on top...VIEW >
  • 12 Tips to Prepare for the COMLEX

  • Posted September 21, 2017 by H. Jeff Nazar, DO
  • If you’re like most medical students, your “To-Do” list is probably never ending! Between hectic class schedules, rotation schedules, and studying for your shelf exams, you’re probably feeling lucky when you can get a full night’s sleep and a nice warm shower. I’m sure that the last thing you want to be thinking about is...VIEW >
  • Medical, +1 MORE
  • 5 Steps to Earning a 90th-Percentile MCAT Score

  • Posted September 21, 2017 by Lauren Curtis
  • Famous Notre Dame football coach Lou Holtz once remarked, “When my teams took second place, the fans called me an idiot. A guy who finished last in medical school is still called a ‘doctor’. Hardly seems fair.” Lou’s pithy comment may be true for students already in medical school. However, if you are a premed...VIEW >
  • 5 Ways to Study for the MCAT Using Your Smart Phone

  • Posted September 20, 2017 by Andrew George
  • You can do almost anything with your smart phone these days. You can video call a friend in China, order pizza with the click of a button, and even see in the dark! So, if your smart phone can help you do these and an almost infinitely large number of other things, then why can’t...VIEW >

// Forums //