12 Things Cardiologists Think Hospitalists Need to Know

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12 Things Cardiologists Think Hospitalists Need to Know

4) Aldosterone Antagonists, Though Probably Underutilized, Can Be Very Effective but Require Caution


Aldosterone antagonists can greatly improve outcomes and reduce hospitalization in heart-failure patients, but they have to be used with very careful dosing and patient selection, Dr. Fonarow says. And they require early follow-up once patients are discharged.

"Only about a third of ideal candidates with heart failure are currently treated with this agent, even though it markedly improves outcome and is Class I-recommended in the guidelines," Dr. Fonarow says. "But this is one where it needs to be started at appropriate low doses, with meticulous monitoring in both the inpatient and the outpatient setting, early follow-up, and early laboratory checks."

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