『#53: Heart Failure Diagnosis and Management with Dr. Gorodeski』のカバーアート

#53: Heart Failure Diagnosis and Management with Dr. Gorodeski

#53: Heart Failure Diagnosis and Management with Dr. Gorodeski

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概要
 Heart failure is a serious diagnosis, but it is also highly treatable. In this episode, Dr. Chris Huff welcomes Dr. Eiran Z. Gorodeski, a leader in the treatment of advanced heart failure, to explain what heart failure actually means—and why the word “failure” often gives patients the wrong impression.They distinguish heart failure with reduced ejection fraction (HFrEF) from heart failure with preserved ejection fraction (HFpEF), explore common causes including coronary artery disease, high blood pressure, and cardiometabolic disease, and discuss less familiar conditions such as inherited cardiomyopathies and cardiac amyloidosis. Dr. Gorodeski describes symptoms worth recognizing and how clinicians use medical history, examination, imaging, and laboratory tests to identify the condition and its underlying cause.The conversation also covers the four pillars of guideline-directed medical therapy, the importance of specialized care teams, individualized approaches to diuretics, nutrition, and exercise, and when advanced therapies such as mechanical heart pumps or transplantation may be considered. They close with emerging possibilities—from AI-assisted diagnosis to fully implantable devices and xenotransplantation.What You’ll LearnThe difference between HFrEF and HFpEF—and why ejection fraction mattersWhy heart failure remains a growing public-health challenge, including among younger adultsHow coronary disease, hypertension, obesity, diabetes, and kidney disease contribute to riskSymptoms such as progressive breathlessness, swelling, abdominal bloating, and fatigueHow echocardiography, natriuretic peptide blood tests, ECG, cardiac MRI, and rhythm monitoring help with diagnosisWhy identifying the underlying cause can change the treatment planWhat the four medication pillars of guideline-directed medical therapy aim to accomplish in HFrEFWhy diuretic needs and medication changes should be individualizedHow cardiac rehabilitation, aerobic activity, resistance training, and nutrition support quality of lifeSigns that may prompt evaluation for advanced heart failure therapiesWhat AI, new drugs, improved heart pumps, and transplant research could mean for the futureKey TakeawayA heart failure diagnosis is not necessarily a final chapter. With a careful diagnosis, evidence-based treatment, appropriate exercise, and coordinated follow-up, many patients can feel better, avoid hospitalization, and live longer—and some people with weakened heart muscle experience meaningful improvement in heart function. About the GuestWhen most people hear “heart failure,” they hear an ending. Dr. Eiran Gorodeski has built his career on writing the next chapter.His path started at Brandeis University, where he graduated magna cum laude, and continued at Case Western Reserve University School of Medicine, where he was inducted into the Alpha Omega Alpha honor society. He trained in internal medicine at Massachusetts General Hospital, then came back to Cleveland for cardiovascular training and an advanced heart failure and transplant fellowship at Cleveland Clinic.He spent nearly a decade as a staff cardiologist there, caring for the sickest hearts, including patients on mechanical support and awaiting transplant. Along the way he saw that the hardest moments often came after discharge, in the handoffs between hospital, rehab, and home. So he went deeper. He earned a Master of Public Health from Harvard, studied health care delivery at Harvard Business School, ran Cleveland Clinic’s post-acute care operations, and stepped in as interim director of its palliative medicine program.Today, Dr. Gorodeski is Medical Director of the Advanced Heart Failure & Transplant Center and the James and Angela Hambrick Center for Cardiac Recovery at University Hospitals’ Harrington Heart & Vascular Institute, and Professor of Medicine and Section Head of Advanced Heart Failure at Case Western Reserve University. He holds the Daniel I. Simon, MD, Endowed Chair in Cardiovascular Excellence. His research focuses on heart failure care in the U.S. and novel care models for older adults living with the disease. This year, he chaired the writing committee for the HF STATS 2026 report, the Heart Failure Society of America’s comprehensive, annually updated reference for heart failure epidemiology and statistics in the United States.Find and Connect with Dr. Eiran Z. Gorodeski, MD, MPH, FACC, FHFSAX: @EiranGorodeskiLinkedIn: linkedin.com/in/gorodeski About the ShowDr. Chris Huff is an interventional cardiologist, endurance athlete, and mountain climber who coaches clients through structured health and weight-loss programs. Each episode translates the evidence behind fitness, nutrition, recovery, and longevity into practical steps you can start using this week.Have a question you’d like answered on the show? Send it through the website or send a DM on Instagram or Facebook.Work with Dr. Chris Huff: Premier Cardiovascular ...
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