VERY interesting and i am a patient in that boat. A 4X bypass in 2002 at age 46 and i was 100% until 09/2017, then i had 2 blockages requiring 3 stents, i think they said 100% blockage in 1 vessel and 90 in the other. Regarding cholesterol meds i got SERIOUS leg cramps on anything over 10 MG of Pravastatin, i am also now on Ezetimibe both 10 MG. My EF is 45 and that was the last time it was checked which was 2017, i have a new Cardiologist who feels he can bring it back up a by by lowering my BP which is about 130/80. I take Losartan now 100 MG and he ordered 25 MG Toprol XL to add to the Losartan and gave me a sheet to fill out to monitor my MP with the Losartan only then when the Toprol XL arrives monitor it 3-4 times a week and see how much it drops. Also my LDL is higher than he feels is optimum and suggested i research Repatha or Praulent which i know is an injectable and reduces LDL.
Does the type of heart failure matter in GDMT? Let's say the patient has dilated or hypertropic cardiomyopathy. Do you still use all 4 pillars and titration strategy.
VERY interesting and i am a patient in that boat. A 4X bypass in 2002 at age 46 and i was 100% until 09/2017, then i had 2 blockages requiring 3 stents, i think they said 100% blockage in 1 vessel and 90 in the other. Regarding cholesterol meds i got SERIOUS leg cramps on anything over 10 MG of Pravastatin, i am also now on Ezetimibe both 10 MG. My EF is 45 and that was the last time it was checked which was 2017, i have a new Cardiologist who feels he can bring it back up a by by lowering my BP which is about 130/80. I take Losartan now 100 MG and he ordered 25 MG Toprol XL to add to the Losartan and gave me a sheet to fill out to monitor my MP with the Losartan only then when the Toprol XL arrives monitor it 3-4 times a week and see how much it drops. Also my LDL is higher than he feels is optimum and suggested i research Repatha or Praulent which i know is an injectable and reduces LDL.
GREAT
Does the type of heart failure matter in GDMT? Let's say the patient has dilated or hypertropic cardiomyopathy. Do you still use all 4 pillars and titration strategy.