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    Quiz: 2017 ACC/AHA/HFSA Update to 2013 HF Guidelines

     

     

    The correct answer is: C. Intravenous iron replacement may be of benefit.

    According to 2017 ACC/AHA/HFSA updated guidelines on the management of HF, intravenous iron replacement is recommended in patients with NYHA class II and class III HF and iron deficiency anemia (ferritin <100 ng/mL or 100 to 300 ng/mL if transferrin saturation is < 20%). This is a new recommendation, based on new evidence from clinical trials suggesting improvement in exercise, functional capacity, and LVEF with intravenous iron replacement. However, larger trials are needed before ACC/AHA/HFSA can make a strong recommendation on the matter. The evidence base for oral iron repletion is uncertain in this setting.1

     

    2. A 78-year-old patient has a Framingham Risk Score of 20%.  What is the optimal blood pressure for this patient in order to decrease the risk of developing HF?

    A. <120/80 mmHg

    B. <130/80 mmHg

    C. <140/80 mmHg

    D. Research does not support targeting systolic blood pressure to prevent HF in a patient like this.

     

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