CHF - Systolic Dysfunction

CHF - Systolic Dysfunction is determined by an EF < style="font-size:130%;">Physical Examination:

• Dyspnea on exertion or at rest if severe
• Chronic cough
• Fatigue
• Lower extremity edema
• Orthopnea
• Paroxysmal nocturnal dyspnea
• Abdominal fullness

Treatments in acute:

• Correct underlying causes such as arrhythmia, alcohol-induced failure, thyroid and valvular disease
• Diuretics
• ACEIs

Treatments in chronic:

• Beta-blocker and ACEIs together
• Daily aspirin and a statin
• Chronic diuretics
• Low-dose spironolactone
• Treatment of arrhythmias
• Limitation of dietary sodium and fluid intake
• Warfarin
• Mechanical left ventricular assist device or cardiac transplantation