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December 5, 2023 55 mins

I am thrilled to introduce you to Midge Bowers.


Not only is Midge a Clinical Professor and Director of the cardiovascular specialty at Duke University School of Nursing, she practices as a nurse practitioner in a Heart Failure Access Clinic.


She’s an expert in cardiology, a seasoned healthcare educator, and shares so much incredible knowledge in this jam-packed episode.


In this episode, we covered:


  • The importance of looking beyond creatinine levels
  • How to focus on practical aspects of echos
  • Demystifying anticoagulation choices
  • Practical tips on adjusting Warfarin dosages
  • Reversal agents and safety measures


This barely scratches the surface of the wealth of information Midge provides.


  • 0:00 - 3:35 - Introduction and Overview
  • 3:36 - 8:39 - Importance of Monitoring Creatinine and GFR
  • 8:40 - 15:06 - Impact of New Medications on Kidney Function
  • 15:07 - 20:30 - Understanding Echo Results: Akinesia, Hypokinesia, and EF
  • 20:31 - 25:01 - Interpreting Trends in Echo Reports
  • 25:02 - 31:17 - Anticoagulation Choices: Warfarin vs. DOACs
  • 31:18 - 38:15 - Adjusting Warfarin Dosages and INR Monitoring
  • 38:16 - 42:42 - Assessing Bleeding Risks with CHADS-VASc and HAS-BLED
  • 42:43 - 46:03 - Reversal Agents and Safety in Anticoagulation
  • 46:04 - 53:41 - Managing DOACs in Different Clinical Scenarios


Read the full blog here.

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Please note: This episode is intended only for medical providers and students learning to be medical providers.



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