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A,B,C,D,Esofthe
ManagementofHeartFailureNanetteKassWenger,MD
EmoryUniversitySchoolofMedicine
GradyMemorialHospital
Atlanta,Georgia9/981
ObjectivesUnderstandthecornerstonesoftherapyangiotensin-convertingenzymeinhibitors,diuretics,anddigitalisreviewtheroleofothertherapies:pharmacotherapeuticaswellasnonpharmacotherapeuticapproaches9/982
Epidemiology4.7millionpatientsintheUnitedStatesareestimatedtohaveheartfailure470,000newcasesrecognizedannuallyEachyear,875,000hospitalizedpatientshaveaprimarydiagnosisofheartfailure.ItisthemajorhospitaldischargediagnosisforpatientsintheMedicareagegroup.9/983
Epidemiologyheartfailureincreaseswithagehalfofallheartfailurehospitalizationsoccurinindividualsage65years.IntheUnitedStates,theestimatedcostsforthemanagementofpatientswithheartfailureexceed$10billionannually.9/984
TreatmentobjectivesDecreasesymptomsImproveexercisecapacityEnhancequalityoflifeDecreasemorbidityRetardtheprogressionofheartfailureImprovesurvival9/985
CornerstonesofTherapyAngiotensinconvertingenzyme(ACE)inhibitorsdiureticsdigitalisguidelinesfortheseverity-basedtherapyofheartfailure.9/986
AsymptomaticPatients Forasymptomaticpatientswithleftventriculardysfunction(NYHAclassI),typicallythosewithanejectionfractionbelow40%,
ACEinhibitorsarerecommended9/987
SymptomaticPatientsNYHAclassIIACEinhibitors,milddiuretics,anddigoxin,withorwithouttheuseofB-blockertherapyNYHAclassIIIaddloopdiureticsNYHAclassIVconsiderpositiveinotropicagentssurgicaltherapiesmayalsobeapplied9/988
A,B,C,D,EsofHeartFailureTherapyA angiotensinconvertingenzymeinhibitors
anticoagulants,amiodarone,AICD,assist
devicesB betablockingdrugsC calciumchannelblockingdrugs,coronary
revascularization,cardiactransplant,
cardiomyoplasty,cardiacreductionsurgeryD diet,diuretics,digitalis,
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