Cardiac failure Info desk : Diuretics never save lives, while Dapagliflozin does it in style !

An Interaction in IMCU How is Mr. K, who was shifted from ward 102 ? Yes sir, It was acute decompensated LV failure, Patient was in impending pulmonary edema. In fact, he developed. He is fine now, How did he come around? He was too sick I thought. “Just pushed 60 mg Frusemide IV, luckily he also had good BP, so with an infusion of NTG, titrated Carvedilol a little bit, he came out nicely. I guess it is Ischemic DCM”. “Good, You have done a nice job” “Don’t make me embarrassed sir. It is such a routine in our ER.  To make him curious, I asked “Which drug do you think that saved him”? “Obviously, Frusemide sir. He was frothing out. I thought he will require a ventilator. It was a matter of 20 minutes, sort of flushing out 500 ml lung fluid through the urine”. I agree, but as a professor, teaching cardiology for 30 years I need to tell you this. Let me clarify, diuretics never save lives. It has no survival benefit in heart failure.  Sir, I guess, you are not kidding. Does this statement apply to acute heart failure? We have saved 100s of lives with Frusemide,  both in acute, acute on chronic and even in chronic cardiac failures with metolazone.  Hmmm, I agree with you my dear student, Frusemide has saved not hundreds but lakhs of lives in the past decades in all forms of heart failure. It continues to do this fabulous job even now. But, don’t say it in exams or scientific forums, they will laugh at yo...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: cardiac failure Cardiology -guidelines cardiology -Therapeutics cardiology wisdom cardiology-ethics Cardiology-Land mark studies Ethics in Medicine evidence based cardiology acc aha esc guidelines on heart failure bumatanide Cardiac fa Source Type: blogs