A 61-year-old with HFrEF on GDMT is admitted with acute decompensated HF and volume overload. Diuresis is initiated. When should SGLT2 inhibitor be st...

Question

A 61-year-old with HFrEF on GDMT is admitted with acute decompensated HF and volume overload. Diuresis is initiated. When should SGLT2 inhibitor be started/restarted?

Accepted Answer

Start or restart once hemodynamically stable and not requiring IV vasopressors

Answer

Avoid inpatient initiation

Answer

Only post-discharge

Answer

Only if A1c >8%

Answer

Contraindicated in HF admissions

us-abim MCQ (SBA): Acute HF Management

A 61-year-old with HFrEF on GDMT is admitted with acute decompensated HF and volume overload. Diuresis is initiated. When should SGLT2 inhibitor be started/restarted?