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
Keywords
Aldosterone antagonists; Angiotensin-converting enzyme inhibitors; Beta blockers; Digoxin; Heart failure; Myocardial infarction; Nitrates; Positive inotropic drugs
Disciplines
Cardiology | Medicine and Health Sciences
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.
Recommended Citation
Aronow, W. S. (2017). Heart Failure Complicating Acute Myocardial Infarction. Heart Failure Clinics, 13 (3), 513-525. https://doi.org/10.1016/j.hfc.2017.02.007
Publisher's Statement
Originally published in Heart Failure Clinics. The original material can be found here.
