Treatment of Heart Failure with Abnormal Left Ventricular Systolic Function in Older Adults

Authors

Wilbert S. Aronow, New York Medical CollegeFollow

DOI

10.1016/j.hfc.2017.02.004

Journal Title

Heart Failure Clinics

First Page

467

Last Page

483

Document Type

Article

Publication Date

7-1-2017

Department

Medicine

Abstract

Heart failure (HF) with abnormal left ventricular (LV) ejection fraction should be identified and treated. Treat hypertension with diuretics, angiotensin-converting enzyme (ACE) inhibitors, and β-blockers. Treat myocardial ischemia with nitrates and β-blockers. Treat volume overload and HF with diuretics. Treat HF with ACE inhibitors and β-blockers. Sacubitril/valsartan may be used instead of an ACE inhibitor or ARB in chronic symptomatic HF and abnormal LV ejection fraction. Add isosorbide dinitrate/hydralazine in African Americans with class II to IV HF treated with diuretics, ACE inhibitors, and β-blockers. Exercise training is recommended. Indications for implantable cardioverter-defibrillator and cardiac resynchronization therapy are discussed.

Recommended Citation

Aronow, W. S. (2017). Treatment of Heart Failure with Abnormal Left Ventricular Systolic Function in Older Adults. Heart Failure Clinics, 13 (3), 467-483. https://doi.org/10.1016/j.hfc.2017.02.004

Publisher's Statement

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