NYMC Faculty Publications

Heart Failure Complicating Acute Myocardial Infarction

DOI

10.1016/j.hfc.2017.02.007

Journal Title

Heart Failure Clinics

First Page

513

Last Page

525

Document Type

Article

Publication Date

7-1-2017

Department

Medicine

Abstract

Factors predisposing the older person with acute myocardial infarction (MI) to develop heart failure (HF) include an increased prevalence of MI, multivessel coronary artery disease, decreased left ventricular (LV) contractile reserve, impairment of LV diastolic relaxation, increased hypertension, LV hypertrophy, diabetes mellitus, valvular heart disease, and renal insufficiency. HF associated with acute MI should be treated with a loop diuretic. The use of nitrates, angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, aldosterone antagonists, beta-blockers, digoxin, and positive inotropic drugs; treatment of arrhythmias and mechanical complications; and indications for use of implantable cardioverter-defibrillators and cardiac resynchronization is discussed.

Publisher's Statement

Originally published in Heart Failure Clinics. The original material can be found here.

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