Volume 89, Number 10
How do we maximize diuresis in acute decompensated heart failure?

How to Obtain AMA PRA Category 1 Credit™ and ABA, ABIM, ABP, ABPath, ABS MOC points
- Review information on this page.
- Read the journal article.
- Return to this page and select the "Complete the CME/MOC Process" link.
- Login to your myCME account.
- If claiming MOC, choose the 'CME & MOC' option and complete the posttest.
- Complete the registration / evaluation form.
- Print your personalized CME / MOC certificate.
Release Date: October 1, 2022
Expiration Date: September 30, 2023
Estimated Time of Completion: 1 hour
Description
The initial goal is to maximize loop diuretic therapy using urine output or urinary sodium for guidance. Combination therapy can be used when patients respond poorly to escalating loop diuretic doses.
Learning Objective
Appraise the response to loop diuretic therapy using urine output and spot urine sodium testing.
Target Audience
Directed to practitioners in advanced heart failure & transplant cardiology, cardiology, cardiovascular disease, critical care, emergency medicine, pharmacology.
ACCREDITATION STATEMENT
In support of improving patient care, Cleveland Clinic Center for Continuing Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
CREDIT DESIGNATION
American Medical Association (AMA)
Cleveland Clinic Foundation Center for Continuing Education designates this journal-based activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.
Certificate of Participation
A certificate of participation will be provided to other health care professionals for requesting credits in accordance with their professional boards and/or associations.
MOC/CC Part II Accreditation
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
ABA MOC: 1.0 Lifelong Learning MOC points in the ABA MOCA 2.0® Maintenance of Certification in Anesthesiology Program®
ABIM MOC: 1.0 Medical Knowledge MOC points in the ABIM MOC Assessment Recognition Program
ABPath CC: 1.0 Lifelong Learning credits in the ABPath Continuing Certification Program
ABP MOC: 1.0 Lifelong Learning & Self-Assessment MOC points in the ABP Maintenance of Certification Program
ABS MOC: 1.0 Accredited CME & Self-Assessment credits toward ABS Continuous Certification Program
Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABA, ABIM, ABPath, ABP, and ABS credit. Credit will be reported within 30 days of claiming credit.
***Please Note*** To receive MOC you must select the MOC option during the online credit claiming process and complete the required steps.
Activity Directors, Authors, and Other Contributors
Activity Director
Brian F. Mandell, MD, PhD
Chairman, Department of Academic Medicine, Education Institute,
Professor of Medicine, Cleveland Clinic Lerner College of Medicine
of Case Western Reserve University,
Editor in Chief, Cleveland Clinic Journal of Medicine,
Cleveland Clinic,
Cleveland, OH
Co-Activity Directors
Pelin Batur, MD, FACP, NCMP
Department of Subspecialty Women’s Health,
Ob/Gyn & Women’s Health Institute, Cleveland Clinic;
Associate Professor of Medicine,
Cleveland Clinic Lerner College of Medicine
of Case Western Reserve University, Cleveland, OH;
Deputy Editor, Cleveland Clinic Journal of Medicine,
Cleveland Clinic, Cleveland, OH
Craig D. Nielsen, MD, FACP
Vice Chairman, Department of Internal Medicine;
Associate Professor, Cleveland Clinic Lerner College of Medicine
of Case Western Reserve University, Cleveland, OH;
Governor, Ohio Chapter, American College of Physicians;
Deputy Editor, Cleveland Clinic Journal of Medicine,
Cleveland Clinic,
Cleveland, OH
Mary T. Cusick, MS
Executive Editor, Cleveland Clinic Journal of Medicine,
Cleveland Clinic,
Cleveland, OH
Authors
Saeid Mirzai, DO
Department of Internal Medicine, Cleveland Clinic, Cleveland, OH
Christopher N. Kanaan, MD
Department of Internal Medicine, Cleveland Clinic, Cleveland, OH
Felix Berglund, MD
Department of Internal Medicine, Cleveland Clinic, Cleveland, OH
Maria Mountis, DO
Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute,
Cleveland Clinic, Cleveland, OH
Heba Wassif, MD, MPH
Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute,
Cleveland Clinic, Cleveland, OH;
Assistant Professor, Cleveland Clinic Lerner College of Medicine
of Case Western Reserve University, Cleveland, OH
CME Disclaimer
The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by The Cleveland Clinic Foundation. In no event will The Cleveland Clinic Foundation be liable for any decision made or action taken in reliance upon the information provided through this CME activity.
Disclosures
In accordance with the Standards for Integrity and Independence issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Foundation Center for Continuing Education mitigates all relevant conflicts of interest to ensure CME activities are free of commercial bias.
The following faculty have indicated that they have a relationship which, in the context of their contributions, could be perceived as a potential conflict of interest:
Brian F. Mandell, MD, PhD (Activity Director) | ||
Teaching and speaking | Genentech | |
Consulting | Horizon Pharma | |
Daniel J. Brotman, MD | ||
Research/independent contractor | Bristol-Myers Squibb Co. | |
Consulting, advisor or review panel participant | Pfizer | |
Abhijit Duggal, MD | ||
Advisor or review panel participant, principal or co-investigator of funded research |
Alung Technologies | |
Ruth Farrell, MD | ||
Consulting | American College of OB/GYN | |
Kristin Highland, MD | ||
Consulting, teaching and speaking, principal or co-investigator of funded research |
Acceleron Pharma Inc, Bayer Healthcare | |
Consulting, research/independent contractor, teaching and speaking |
Acetelion | |
Consulting, advisor or review panel participant, teaching and speaking, principal or co-investigator of funded research |
Boehringer Ingelheim, United Therapeutics Corporation | |
Consulting | Forsee | |
Consulting, research/independent contractor, principal or co-investigator of funded research |
Genentech/Roche | |
Research/independent contractor | Gossamer Bio, Viela Bio, Inc | |
Christian Nasr, MD | ||
Advisor or review panel participant | Nevro Corporation | |
Consulting, research/independent contractor | Siemens | |
Tyler Stevens, MD | ||
Teaching and speaking | Abbvie Pharmaceuticals | |
Consulting | Boston Scientific | |
Olaf Wendler | ||
Consulting | Edwards Lifesciences |
All other authors, co-activity directors, reviewers and CCJM staff report no relevant financial relationships which, in the context of their contributions, could be perceived as a potential conflict of interest.
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This CME activity was produced by the Cleveland Clinic Journal of Medicine and the Cleveland Clinic Center for Continuing Education.
Center for Continuing Education | 9500 Euclid Avenue, JJ42 Cleveland, OH 44195
Center for Continuing Education | 9500 Euclid Avenue, JJ42 Cleveland, OH 44195