Thiamine and Heart Failure

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Presentation transcript:

Thiamine and Heart Failure Jonathan Helali, MD, Sandy Park, MD, Boback Ziaeian, MD, PhD, Janet K. Han, MD, Azadeh Lankarani-Fard, MD  Mayo Clinic Proceedings: Innovations, Quality & Outcomes   Volume 3, Issue 2, Pages 221-225 (June 2019) DOI: 10.1016/j.mayocpiqo.2019.03.003 Copyright © 2019 Terms and Conditions

Figure 1 Case 1: Initial chest x-ray with cardiomegaly, pulmonary venous congestion, and Kerley B lines suggestive of acute heart failure. Mayo Clinic Proceedings: Innovations, Quality & Outcomes  2019 3, 221-225DOI: (10.1016/j.mayocpiqo.2019.03.003) Copyright © 2019 Terms and Conditions

Figure 2 Case 1: Echocardiogram showing left ventricular cavity size in diastole and systole (Panel A and B, respectively) prior to thiamine treatment and after treatment (diastole and systole, Panel C and D, respectively). Patient was noted to have significant improvement in contractility with improvement of his ejection fraction from 25% to 55%. Mayo Clinic Proceedings: Innovations, Quality & Outcomes  2019 3, 221-225DOI: (10.1016/j.mayocpiqo.2019.03.003) Copyright © 2019 Terms and Conditions