Speakers
Dr Lara Mitchell Consultant Physician Older Peoples Services, Queen Elizabeth University Hospital, GlasgowDr Mimi Chen PhD FRCP Consultant Endocrinologist, St George’s University Hospitals London
Professor Smeeta Sinha Consultant Nephrologist, Northern Care Alliance NHS Foundation Trust
Learning objectives
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- To explore the clinical evidence supporting a joined-up approach to CVRM care
- To provide case study examples to show how a joined up approach could work in clinical practice
- To demonstrate the benefits of a joined-up approach to CVRM care
Learning module instructions
This BJC TV Learning module has a recommended award of 1 CPD credit for completion (1 hour of learning).
Completion requires a score of at least 80%. If less time is spent learning, then you should claim a reduced credit value.
After you have successfully completed the test you will be able to download your certificate.
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Question 1 of 6
1. Question
1. What percentage of people die within one year of hospitalisation for heart failure? Please select the correct answer.
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Question 2 of 6
2. Question
2. What are the diagnostic criteria for heart failure with mildly reduced ejection fraction (HFmrEF)? Please select the correct answer.
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Question 3 of 6
3. Question
3. According to the recommendations in the ESC guidelines3, which of the following blood tests would you use to evaluate for possible aggravating factors and/or alternative diagnoses to heart failure? Please select all answers that apply.
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Question 4 of 6
4. Question
4. According to the ESC algorithm for class I therapy treatment strategies for patients with heart failure with reduced ejection fraction (HFrEF), what are the class I-recommended agents? Please select all answers that apply.
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Question 5 of 6
5. Question
5. According to the New York Heart Association (NYHA) symptom-based severity classification system for chronic heart failure, what class would a patient fall into if they presented with and of the following symptoms: marked limitation of physical activity, comfortable at rest, less than ordinary activity causes fatigue, palpitations, or dyspnoea? Please select the correct answer.
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Question 6 of 6
6. Question
6. In a cross-trial analysis, a newer comprehensive pharmacological treatment regimen for heart failure (ARNI+ beta-blocker + MRA + SGLT2-I) has been shown to reduce the incidence of CV death or first hospitalisation compared to the older conventional therapy options (ACEI/ARB + beta-blocker)5. According to Vaduganathan M and colleagues (2020), how many additional years free from CV death or first hospitalisation did the comprehensive therapy option give compared to the conventional therapy for a 55-year-old? Please select the correct answer.
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References
1. Taylor CJ et al. BMJ 2019;364:I223. https://doi.org/10.1136/bmj.l223
2. McDonagh TA et al. Eur Heart J 2023;44(37):3627–3639. https://doi.org/10.1093/eurheartj/ehad195
3. McDonagh TA et al. Eur Heart J 2021;42:3599–3726. https://doi.org/10.1093/eurheartj/ehab368
4. Yancy CW et al. Circulation 2013;128:e240–e327. https://doi.org/10.1161/CIR.0b013e31829e8776
5. Vaduganathan M et al. Lancet 2020;396:121–128. https://doi.org/10.1016/S0140-6736(20)30748-0