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When would you consider using hypertonic saline for patients with refractory acute decompensated heart failure and diuretic resistance?
1 Answers
Mednet Member
Cardiology · University of Nebraska Medical Center
In patients with acute decompensated heart failure (ADHF) and diuretic resistance, hypertonic saline combined with furosemide has shown potential in improving clinical outcomes. This combination can decrease mortality, reduce hospital stay and readmission rates, and enhance diuretic effectiveness by...
What is your preferred method for subclinical CAD screening prior to initiation of class IA antiarrhythmic drugs for atrial fibrillation?
1 Answers
Mednet Member
Cardiology · The Cleveland Clinic Foundation
This is a somewhat unique question in that I rarely use IA agents for atrial fibrillation. In my training and early practice, they were used but not so recently. I believe oral procainamide is not readily available, though the IV form is. Quinidine doesn't have a great efficacy adverse event ratio a...