Treatment of Heart Failure with Abnormal Left Ventricular Systolic Function in Older Adults

被引：3

作者：

Aronow, Wilbert S. ^{[1
]}

机构：

[1] New York Med Coll, Westchester Med Ctr, Dept Med, Div Cardiol, Macy Pavil,Room 141, Valhalla, NY 10595 USA

来源：

HEART FAILURE CLINICS | 2017年 / 13卷 / 03期

关键词：

Heart failure; Myocardial infarction; Beta blockers; Angiotensin-converting enzyme inhibitors; Nitrates; Aldosterone antagonists; Digoxin; Positive inotropic drugs; CONVERTING-ENZYME-INHIBITORS; CARDIAC-RESYNCHRONIZATION THERAPY; PRIOR MYOCARDIAL-INFARCTION; IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; PERIPHERAL ARTERIAL-DISEASE; SERUM DIGOXIN CONCENTRATION; LIPID-LOWERING DRUGS; RANDOMIZED-TRIAL; BETA-BLOCKERS; CORONARY EVENTS;

D O I：

10.1016/j.hfc.2017.02.004

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Heart failure (HF) with abnormal left ventricular (LV) ejection fraction should be identified and treated. Treat hypertension with diuretics, angiotensin-converting enzyme (ACE) inhibitors, and beta-blockers. Treat myocardial ischemia with nitrates and beta-blockers. Treat volume overload and HF with diuretics. Treat HF with ACE inhibitors and beta-blockers. Sacubitril/valsartan may be used instead of an ACE inhibitor or ARB in chronic symptomatic HF and abnormal LV ejection fraction. Add isosorbide dinitrate/hydralazine in African Americans with class II to IV HF treated with diuretics, ACE inhibitors, and beta-blockers. Exercise training is recommended. Indications for implantable cardioverter-defibrillator and cardiac resynchronization therapy are discussed.

引用

页码：467 / +

页数：19

共 127 条

[1]

Abraham WT, 2001, J AM COLL CARDIOL, V38, P612

[2] Serum digoxin concentration and outcomes in women with heart failure: A bi-directional effect and a possible effect modification by ejection fraction [J].