ABIM Advanced HF case studies
ABIM Advanced HF · Put your knowledge to work in context.
The Advanced Heart Failure and Transplant Cardiology Certification Examination is an ABIM subspecialty certification exam for physicians who want to demonstrate the knowledge, clinical judgment, and skills required for independent practice in advanced heart failure and transplant cardiology. ABIM states that its certification exams assess the knowledge, clinical judgment and skills essential for high-quality care in internal medicine and its subspecialties, and that certification demonstrates readiness for independent practice. The ABIM Advanced HF case studies are 5 cases and about 2,477 words.
1Diuretic Resistance and HFpEF With CKD
74-year-old woman with HFpEF (LVEF 58%), permanent atrial fibrillation, BMI 36, and CKD stage 3b (baseline creatinine 1.6 mg/dL, eGFR 32) is admitted with 3 weeks of worsening dyspnea and 9 kg weight gain. Exam: JVP 14 cm, 3+ pitting edema to mid-shin, bibasilar crackles, no murmur; oxygen saturation 92% on 2 L nasal cannula.
567 words, about 3 min2Destination LVAD in INTERMACS 3 With Borderline RV Function
56-year-old man with nonischemic cardiomyopathy (LVEF 18%) has been hospitalized 6 days with NYHA class IV symptoms. He is on milrinone 0.375 mcg/kg/min and furosemide infusion; norepinephrine was stopped yesterday.
515 words, about 3 min3CMV Pneumonitis After Heart Transplant
58-year-old man 8 months after orthotopic heart transplant for ischemic cardiomyopathy presents with 5 days of fever, dry cough, and progressive dyspnea. He is on tacrolimus 4 mg BID, mycophenolate mofetil 1,000 mg BID, and prednisone 5 mg daily.
449 words, about 2 min4Combined Postcapillary PH in Scleroderma and HFpEF
62-year-old woman with limited cutaneous systemic sclerosis and HFpEF (LVEF 60%) presents with 3 months of exertional dyspnea and leg swelling. Echo: RVSP 58 mmHg, TAPSE 14 mm, moderate TR, and LA enlargement.
469 words, about 2 min5Escalation of Mechanical Support in Post-MI Cardiogenic Shock
62-year-old man with anterior STEMI treated with PCI 18 hours ago develops hypotension. He is intubated and on norepinephrine 0.15 mcg/kg/min and dobutamine 5 mcg/kg/min.
477 words, about 2 min