Dr David Sim
Cardiologist, Heart Failure Program Director, National Heart Center Singapore; Immediate past president of Heart Failure Society (Singapore)
 

Dr David Sim’s Clinical Cases: NT-proBNP in Heart Failure Patients

Click on one of the 3 tabs below to switch between different type of heart failure patients

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53-Year old-Women

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Key signs and symptoms

Acute decompensated heart failure requiring admission
for intravenous diuretic – LVEF 25%

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Medical history

Diabetes mellitus for the last 3 years
Chronic heart failure for the last 2 years

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Clinical examination

BP 120/80 mmHg
Heart rate 72/min
Pulmonary congestion with pedal edema
Potassium 4.2 mmol/L
Creatinine 90 Umol/L,
HbA1c 7.1%
BMI-22

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Medications

Enalapril 10 mg bid
Bisoprolol 10 mg od
Spironolactone 25 mg od
Ivabradine 5 mg bid
Loop diuretic
Metformin 500 mg bid
Empagliflozin 10 mg od

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Use of NT-proBNP for hospitalized heart failure patients

Was the repeated NT-proBNP before discharge result useful?

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Can you give us a short description of the CANVAS program? The CANVAS program was a set of two trials, whose goal was to evaluate the role of an SGLT2...

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