NYMC Faculty Publications
Treatment of Heart Failure with Abnormal Left Ventricular Systolic Function in Older Adults
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.
