Beyond Guidelines, How Should We Sequence GDMT in Real-World CRM Patients?
Автор: RAS LSS Consulting
Загружено: 2026-03-16
Просмотров: 15
Описание:
How should clinicians sequence guideline-directed medical therapy (GDMT) in real-world cardiovascular-renal-metabolic (CVRM) patients?
In this episode of CVRM Unscripted, we explore one of the most important questions in heart failure care today:
👉 Is sequencing really the key issue—or is the real challenge ensuring patients receive all evidence-based therapies as quickly as possible?
Aditya Bahl and Preeti Parikh had the privilege of speaking with Dr Stephen Greene (Duke University School of Medicine), a leading heart failure cardiologist deeply involved in major registries and trials, including CHAMP-HF, Get With The Guidelines–HF, and VICTORIA.
00:00 Introduction
02:04 Meet Dr. Stephen Greene
03:52 Why GDMT Sequencing Matters
04:20 Rapid vs Stepwise GDMT Initiation
06:54 Safety Concerns vs Clinical Evidence
09:41 Managing Complex HF Patients in Practice
16:16 Guidelines vs Real-World Implementation
17:15 Clinical Inertia & Insights from CHAMP-HF
23:41 System-Level Changes to Improve GDMT Use
24:23 The Future of GDMT Implementation
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