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.
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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.
GREAT