Heart Failure: Interns Guide

The Virtual Clinics

Heart Failure OS

Created by Dr. Sharad Maheshwari MD & Dr. Revaa Kovil MBBS - imagingsimplified@gmail.com

★ Clinical Case & Hook

Heart Failure

Comprehensive Ontology

GDMT Treatment Calculator

Instantly calculate optimal heart failure pharmacotherapy based on patient phenotype, hemodynamics, and comorbidities.

Patient Parameters

Left Ventricular EF (LVEF) 35 %

Systolic BP 110 mmHg

eGFR 45 mL/min

Potassium (K+) 4.2 mEq/L

Heart Rate 75 bpm

ECG QRS Duration 90 ms

NYHA Functional Class

I

II

III

IV

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Atrial Fibrillation

Type 1 Diabetes Mellitus

Severe Asthma / COPD

LBBB Morphology

Diagnostic Phenotype

HFrEF (Heart Failure with Reduced Ejection Fraction)

LVEF ≤ 40%. Primary pump failure. Highest indication for comprehensive Guideline-Directed Medical Therapy (GDMT).

ARNI / ACEi

(Angiotensin Receptor-Neprilysin Inhibitor)

Beta-Blocker

(Bisoprolol, Carvedilol, Metoprolol Succ)

MRA

(Mineralocorticoid Receptor Antagonist)

SGLT2i

(Sodium-Glucose Co-transporter 2 Inhibitor)

Ivabradine

(Sinoatrial node modulator)

Device Therapy (ICD / CRT-D)

Adjunctive Therapy Required