# REBOOT #458 Heart Failure with Reduced Ejection Fraction - Kittleson Rules Outpatient Heart Failure Volume 1

An episode of [The Curbsiders Internal Medicine Podcast](https://invisiblenetwork.ai/podcast/1198732014), 12 May 2025, 1 h 00 min.

Audio: https://clrtpod.com/m/pscrb.fm/rss/p/dts.podtrac.com/redirect.mp3/audioboom.com/posts/8718730.mp3?modified=1780916365&sid=5034728&source=rss

We’re taking a break this week, but we’ll be back next week with a brand-new episode. Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments • 00:00 Introduction • 03:22 Case Presentation: Newly Diagnosed Heart Failure • 07:26 Using Physical Exam Findings to Guide Diuresis • 11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure • 15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients • 22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy • 28:02 Consideration of Other Medications • 40:02 Referral to Advanced Heart Failure Specialist • 49:11 Optimizing Therapy and Follow-Up • 55:33 Conclusion and Book Recommendation Credits • Writer and Producer: Deborah Gorth MD, PhD • Infographic and Cover Art: Zoya Surani • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP • Reviewer: Emi Okamoto MD • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP • Technical Production: PodPaste • Guest: Michelle Kittleson MD, PhD Sponsor: Mint Mobile Get your summer savings and shop premium wireless plans at MINTMOBILE. com/CURB. Sponsor: American College of Physicians Order ACP MKSAP today at acponline.org. Curbsiders Listeners who use promo code CORECS will receive a MKSAP gift pack with their subscription. Sponsor: Panacea Legal Learn more and schedule your free consultation at Panacea.Legal.

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