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Evidence-Based Management of the Patient with Congestive Heart Failure

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Comprehensive Cardiovascular Medicine in the Primary Care Setting

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Treatment of heart failure starts with controlling risk factors, management of asymptomatic systolic dysfunction, and aggressive treatment of symptomatic failure with diuretics, beta blockers, ACEI (or ARB or ARNI), and aldosterone antagonists. The use of IV inotropes should be discouraged except for hemodynamic stability. Eligible patients need to receive biventricular pacing, ICD, or LVAD. Diastolic dysfunction is often a neglected cause of CHF, and diagnosis needs to be considered when CHF is present in the setting of normal left ventricular systolic function. HFNEF diagnosis is a relatively new entity that needs to be considered in the symptomatic heart failure patient.

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  1. Midwest Cardiovascular Research Foundation, Davenport, IA, USA

    Nicolas W. Shammas

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  1. Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Peter P. Toth

  2. Cardiovascular Division, Harvard Medical School Brigham & Women’s Hospital, Boston, MA, USA

    Christopher P. Cannon

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Shammas, N.W. (2019). Evidence-Based Management of the Patient with Congestive Heart Failure. In: Toth, P., Cannon, C. (eds) Comprehensive Cardiovascular Medicine in the Primary Care Setting. Contemporary Cardiology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-97622-8_24

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