Summary Writer: Divya Iyer
Script Writer: Kate Kearney Graham
Editor: Sean Lal
Interviewee: Sean Lal
James Edwards chats to Dr Sean Lal about heart failure.
Sean Lal is a clinical academic cardiologist at Royal Prince Alfred Hospital and the University of Sydney, NSW, Australia. He undertook his training at the University of Sydney, Royal Prince Alfred Hospital and Harvard Medical School. Sean’s clinical and research interests are in heart failure.
With Dr Sean Lal, Clinical Academic Cardiologist at the University of Sydney and Royal Prince Alfred Hospital, New South Wales, Australia
Heart failure (HF) is a clinical condition resulting from an impaired ability of the heart to provide output to perfuse organs sufficiently due to abnormalities of heart structure and function. There are two main mechanisms by which heart failure can occur. Systolic heart failure results in impaired contractile function thereby reducing output to the body. Diastolic dysfunction, on the other hand, results from abnormal cardiac relaxation where a stiff ventricle is not able to fill adequately. These two pathological processes often coexist together. In this second part of the podcast we will look at how best to investigate heart failure, what are the common precipitants, what type of drugs are used and when to escalate care.
Atherton, J et al. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian clinical guidelines for the management of heart failure. Medical Journal of Australia, 2018 October 15: 209 (8): 363-369
Atherton, J et al. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Guidelines for the Prevention, Detection, and Management of Heart Failure in Australia 2018. Heart Lung and Circulation, 2018, 27: 1123-1208
Borlaug B, Pathophysiology of heart failure with preserved ejection fraction. In: UpToDate [Internet], Colucci W, Yeon S (Ed) Waltham MA, UpToDate Inc [updated 2019 July 17; cited 2019 July 24]; Available from: https://www.uptodate.com/contents/pathophysiology-of-heart-failure-with-preserved-ejection-fraction?search=diastolic%20heart%20failure&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2
Borlaug B, Colucci W, Treatment and prognosis of heart failure with preserved ejection fraction. In: UpToDate [Internet], Yeon S (Ed) Waltham MA, UpToDate Inc [updated 2019 Jan 17; cited 2019 July 24]; Available from: https://www.uptodate.com/contents/treatment-and-prognosis-of-heart-failure-with-preserved-ejection-fraction?search=diastolic%20heart%20failure&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H8053301 on 24/07/2019
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