Heart Failure, Rhythm & Risk Factors

Heart failure, arrhythmia and cardiovascular risk are grouped here because they arrive together in the same patient: the man with a poor ventricle, atrial fibrillation, hypertension and declining renal function, reviewed every few months for years. This section covers drug titration against real observations, anticoagulation decisions, rhythm control choices, decompensation management and the risk conversations that follow. It is written for physicians holding chronic cardiac care themselves, without a dedicated failure or rhythm clinic to absorb the follow-up. See Heart Failure Management Reference and Arrhythmia Management, with related titles under Heart Failure.
Heart failure, rhythm and risk togetherThese three are grouped because they are managed together in the same patient far more often than they are taught together. The heart failure material covers sequencing and titration of the four pillars against the limits that actually bite — a systolic of 96, a rising creatinine, a formulary that stocks three of the four — and gives HFpEF its own treatment. The rhythm titles follow arrhythmia from the bedside strip through the anticoagulation decision to the clinic conversation about ablation and devices. The risk material covers scoring systems used as a structure for a conversation rather than a substitute for one, and is explicit about where they perform badly.