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Today’s vlog is on the subject of heart failure and in particular on a special type of pacemaker which can make a significant improvement to the quality of life and length of life in patients with heart failure. In addition, the group with the BiV pacemaker were less likely to be hospitalized for heart failure flare-ups.
The patient stated he had a long history of well-controlled hypertension for which he was compliant with his ACE-inhibitor. It is also not a wandering pacemaker — because change in atrial pacing site is gradual with that disorder. He was also treated for erectile dysfunction but had not taken any medications recently.
These include ACEinhibitors (and now a medication called Entresto), beta blockers, Mineralocorticoid receptor antagonists and now a new class of anti-diabetic medications called SGLT2 inhibitors and ideally wherever possible the patient should try and take a little of all of them as opposed to taking lots of one and none of the others.
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