The CardioNerds and Dr. Randall Starling Discuss the Use of Diuretics in HF Management

By CardioNerds - Last Updated: November 16, 2023

In this episode of The CardioNerds podcast: Expert faculty Dr. Randall Starling, of the Cleveland Clinic, joins CardioNerds correspondents Akiva Rosenzveig and Dr. Ahmed Ghoneem to answer the following question.

Which of these sentences regarding the use of diuretics in the management of heart failure (HF) is correct?
A In HF patients with minimal congestive symptoms, medical management with diuretics alone is sufficient to improve outcomes.
B Prescribing a loop diuretic on discharge after hospitalization due to HF may improve short-term mortality and HF rehospitalization rates.
C The combination of thiazide (or thiazide-like) diuretics with loop diuretics is preferred to higher doses of loop diuretics in patients with HF and congestive symptoms.
D The maximum daily dose of furosemide is 300 mg.

*Hear the answer at 2:52 of the episode.

Dr. Starling is a professor of medicine and an advanced heart failure and transplant cardiologist at the Cleveland Clinic, where he was formerly the section head of heart failure, vice-chairman of cardiovascular medicine, and a member of the Cleveland Clinic Board of Governors. He is also a past president of the Heart Failure Society of America (2018-2019). Dr. Starling was among the earliest CardioNerds faculty guests and has since been a valuable source of mentorship and inspiration. His sponsorship and support were instrumental to the initiation of The CardioNerds Clinical Trials Program.

The Decipher the Guidelines: 2022 ACC/AHA/HFSA Guideline for the Management of Heart Failure series was developed by The CardioNerds and created in collaboration with the American Heart Association and the Heart Failure Society of America. It was created by 30 trainees—spanning the education spectrum from college through advanced fellowship—under the leadership of CardioNerds cofounders, Drs. Amit Goyal and Dan Ambinder, with mentorship from Drs. Anu Lala, Robert Mentz, and Nancy Sweitzer. We thank Drs. Judy Bezanson and Elliott Antman for their tremendous guidance.

This podcast originally appeared on The CardioNerds.

 

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