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Digital Seminar

Prescribing Heart Failure Medications: The Latest Updates for Life-Saving Clinical Decisions

Stacie Ward-Santangelo, RN, MS, APN, CHFN, CCNS
2 Hours
Audio and Video
May 20, 2022
Product Code:
Media Type:
Digital Seminar


Heart Failure is a complex clinical syndrome. The heart failure diagnosis alone can scare even the most adept and proficient providers.  It is not uncommon to feel as though we don’t want to change the medications for fear of causing harm.

Years of research and collaboration amongst the most respected experts in the heart failure field have proven that neurohormonal dysregulation is what causes the decline of patients with heart failure. When it comes to the medicinal management of heart failure, utilizing guideline directed medical therapy appropriately is misunderstood. It is not merely a pump problem but rather a brain and pump problem. The indications, patient education, up-titration, vital sign parameters, and adjuvant therapies are very specific to the pathology of the failing heart. 


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.

* Credit Note - ---

Earn up to 2.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

Nurses - Pharmacology Nurse Practitioners

This self-study program offers instructional minutes of pharmacology content which is designed to qualify for 2.0 contact hours toward your pharmacology requirement. 

Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 2.0 contact hours. Expires: 05/20/2025.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 2.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 2.0 self-study contact hours.

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Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 2.0 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Physicians - Physicians

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 05/19/2022. It was last reviewed on 05/04/2022 and is valid until 05/04/2025.


Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

Physicians Assistants - Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 2.0 hours for completing this self-study program. This activity was originally recorded on 05/19/2022. It was last reviewed on 05/04/2022 and is valid until 05/04/2025


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.

Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Stacie Ward-Santangelo, RN, MS, APN, CHFN, CCNS's Profile

Stacie Ward-Santangelo, RN, MS, APN, CHFN, CCNS Related seminars and products

Stacie R. Ward-Santangelo, RN, MS, APN, CHFN, CCNS, works as an advanced practice nurse in cardiology and heart failure with Community Physicians. Additionally, she is charged with working with various facilities, and her esteemed colleagues, developing ‘skilled heart units’ in nursing and rehab facilities across the Chicagoland area.

Stacie is board-certified in advanced heart failure and cardiology. She has extensive experience working in respected and growing cardiac programs in Chicago and the surrounding suburbs. She is responsible for the program development of cardiac transplantation and mechanical support programs, which are successful and viable today.

Stacie had received many awards and honors during her career. She received Nurse of the Year at University of Chicago, Volunteer of the Year for the American Heart Association, “Stand Out Amongst Your Peers” award from Abbott for her work in cardiovascular research, Patient Satisfaction Award for consistently being in the 99th percentile for patient satisfaction at Northwestern Medicine, and most recently, elected to be on a national committee “ Thought Leaders Forum” for research in advanced heart failure. She publicly speaks at national and local meetings.

Stacie is considered an expert amongst her peers and physicians colleagues alike in general cardiology, advanced heart failure, mechanical circulatory support, and cardiac transplantation. She is highly motivated and has a keen interest in research, guideline-directed therapies, and the education of practitioners, students, and patients/families.

Speaker Disclosures:
Financial: Stacie Ward-Santangelo has employment relationships with Community Physicians, Saint Xavier University, and Healthcare Consultants, LTD. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Stacie Ward-Santangelo has no relevant non-financial relationships.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.

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  1. Analyze neurohormonal dysregulation as the primary trigger for worsening heart failure. 
  2. Differentiate the indications for GDMT in heart failure vs. other cardiovascular comorbidities.  
  3. Determine how to concomitantly use available resources to optimize heart failure management. 
  4. Plan how to prescribe and up-titrate heart failure medications based on clinical criteria. 
  5. Appraise the effectiveness of prescribed therapies. 


Neurohormonal Dysregulation 

  • What is really causing the failure 
  • RAAS  
  • Shutting it down 

Guideline Directed Medical Therapy (GDMT)  

  • The VIM’s:  Beta adrenergic blockers  
  • The VIM’s:  ACEi/ ARB’s 
  • The VIM’s:  Where’s ALDO? 
  • The VIM’s:  The new player:  ARNI 
  • The VIM’s: SGLT2 inhibition 

What do they each do? 

  • Critical importance of appropriate integration 
  • Tips and tricks for patient tolerance 
  • Monitoring 

The VIM’s:  Stay in the Loop with Diuretics 

  • Do HF patients ALWAYs need diuretics? 
  • Subclasses of diuretics to consider 
  • Thiazides and thiazide-like diuretics 
  • Carbonic anhydrase inhibitors 
  • Potassium-sparing diuretics 
  • Osmotic diuretics 

Non-Pharmacologic Interventions for Heart Failure Management 

  • Electrophysiology involvement 
    • ICD’s 
    • Pacemakers 
    • BiV-ICD 
  • PA pressure system 
    • Using monitoring to up-titrate GDMT 
  • Social media as patient support 
  • Support groups for patients with heart failure 

Treatment Options   

  • Referral to HF specialist 
  • Treating the cause 
  • LVAD 
  • Cardiac transplantation

Target Audience

  • Nurses
  • Nurse Practitioners
  • Pharmacists
  • Physicians
  • Physician Assistants


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