RxFiles Heart Failure

rxfiles.ca/heartfailure

Our guide to the management of heart failure in primary care. 

Heart Failure Newsletter, November 2020

A selected collection of the documents below. 

Heart Failure Drug Comparison Chart

Describes an approach to heart failure therapy, lists lifestyle management tips, and compares heart failure medications including beta-blockers, ACEIs, ARBs, MRAs, sacubitril/valsartan, SGLT2 inhibitors, digoxin, ivabradine, vericiguat, and diuretics. 

The Art of Prescribing in Heart Failure 

Describes approaches to solving common drug therapy problems in heart failure, including: hypotension, bradycardia, hyperkalemia, hypokalemia, worsening renal function, hyponatremia, gout, and dry cough. 

Furosemide Sliding Scale

A tool for escalating and de-escalating furosemide doses in order to achieve euvolemia and allow the up-titration of other heart failure medications. 

BC Heart Failure Zones [external link]

Patient-friendly tool for management of heart failure symptoms. Linked with permission of Cardiac Services BC. 

Perspectives on Heart Failure and Diabetes

A guide to comanaging patients with both diabetes and heart failure. 

Heart Failure Landmark Trials

A summary of landmark trial evidence for ACEIs, ARBs, beta-blockers, MRAs, digoxin, and hydralazine & nitrates. Additional landmark trials are below: Emperor-Reduced, SHIFT, DAPA-HF, PARADIGM-HF, and VICTORIA

Emperor-Reduced

SHIFT

DAPA-HF

PARADIGM-HF

VICTORIA