Heart Failure

Oct 15, 2001 Issue
Spironolactone in Left-Sided Heart Failure: How Does It Fit In? [Article]

The familiar diuretic spironolactone has taken on new life as a treatment for left-sided congestive heart failure. Spironolactone has been shown to decrease mortality in such patients who are New York Heart Association class IV. It can be used in addition to agents such as angiotensin-converting enz...

Sep 15, 2001 Issue
Guideline for Management of Heart Failure Caused by Systolic Dysfunction: Part II. Treatment [Article]

Several large clinical trials conducted over the past decade have shown that pharmacologic interventions can dramatically reduce the morbidity and mortality associated with heart failure. These trials have modified and enhanced the therapeutic paradigm for heart failure and extended treatment goals ...

Sep 1, 2001 Issue
Guideline for the Management of Heart Failure Caused by Systolic Dysfunction: Part I. Guideline Development, Etiology and Diagnosis [Article]

Over the past decade, the conceptual understanding of heart failure has changed significantly. Several large clinical trials have demonstrated that pharmacologic interventions can dramatically reduce the morbidity and mortality associated with heart failure. These trials have extended the therapeuti...

Apr 15, 2001 Issue
Reducing Readmissions for Congestive Heart Failure [Article]

Hospital admission for congestive heart failure is extremely common and quite expensive, although it is frequently preventable. New drugs and therapies have been reported to reduce admissions, decrease morbidity and mortality, and improve the quality of life for these patients. Patients with an ejec...

Dec 1, 2000 Issue
The Importance of Beta Blockers in the Treatment of Heart Failure [Article]

Heart failure, the only cardiovascular disease with an increasing incidence, is associated with significant mortality and poses a considerable economic burden. Traditionally, beta blockers have been considered to be contraindicated in patients with heart failure. Recently, however, several large ran...

Nov 15, 2000 Issue
Beta Blocker Therapy for Chronic Heart Failure [Article]

Recent studies have shown that beta blocker therapy improves survival and reduces hospitalizations in patients who have chronic heart failure and left ventricular systolic dysfunction, the majority of whom are under the management of primary care physicians. Appropriate patient selection is essentia...

Sep 15, 2000 Issue
Alternative Therapies: Part II. Congestive Heart Failure and Hypercholesterolemia [Article]

Natural supplements are widely used by the American public but, while claims of their therapeutic effects abound, medical research does not always support their effectiveness. Clinical trials using Q10 for the management of congestive heart failure have had conflicting results; hawthorn is prescribe...

Jul 15, 2000 Issue
Postobstructive Pulmonary Edema [Article]

Pulmonary edema is a potentially life-threatening complication of acute airway obstruction. It develops rapidly, without warning, in persons who are otherwise well. Two forms of postobstructive pulmonary edema (POPE) have been identified. POPE I follows sudden, severe upper airway obstruction. POPE ...

Jul 15, 2000 Issue
Update on Digoxin Therapy in Congestive Heart Failure [Article]

Congestive heart failure is a progressive disease with significant morbidity and mortality. Despite advances in the prevention and treatment of cardiovascular diseases, the incidence and prevalence of congestive heart failure have increased in recent years. Contributing factors include increased sur...

Mar 1, 2000 Issue
Essentials of the Diagnosis of Heart Failure [Article]

Although heart failure is a common clinical syndrome, especially in the elderly, its diagnosis is often missed. A detailed clinical history is crucial and should address not only current signs and symptoms of heart failure but also signs and symptoms that point to a specific cause of the syndrome, s...

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