The American Journal of Medicine
Volume 122, Issue 4 , Pages 329-332, April 2009

Office Management of Chronic Systolic Heart Failure

  • Stephen A. Geraci, MD

      Affiliations

    • G.V. (Sonny) Montgomery Veterans Affairs Medical Center, Jackson, Miss
    • Department of Medicine, University of Mississippi School of Medicine, Jackson, Miss
    • ,
  • Jessie M. Spencer, MD

      Affiliations

    • G.V. (Sonny) Montgomery Veterans Affairs Medical Center, Jackson, Miss
    • Department of Medicine, University of Mississippi School of Medicine, Jackson, Miss
    • ,
  • Nancy D. Stubbs, FNP, MSN

      Affiliations

    • G.V. (Sonny) Montgomery Veterans Affairs Medical Center, Jackson, Miss
    • Corresponding Author InformationRequests for reprints should be addressed to Nancy D. Stubbs, FNP, MSN, G.V. (Sonny) Montgomery VAMC, Medical Service (111), 1500 Woodrow Wilson Ave., Jackson, MS 39216

Abstract 

Evidence-based management of chronic systolic heart failure includes risk factor management, therapeutic lifestyle changes, and a polypharmaceutical regimen that prolongs survival, reduces or reverses progression of myocardial dysfunction, alleviates symptoms, and limits complications. Subspecialty consultation is warranted when symptoms progress despite standard therapy; interventions are needed for refractory coronary disease, an arrhythmia device is indicated, or surgical intervention or transplantation is considered.

Keywords: Chronic disease, Drug therapy, Heart failure, Medical management, Systolic

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 Funding: None.

 Conflict of Interest: None of the authors has any potential conflict of interest regarding the publication of this manuscript.

 Authorship: All authors had access to the data and a role in writing this manuscript.

PII: S0002-9343(09)00007-2

doi:10.1016/j.amjmed.2008.12.011

The American Journal of Medicine
Volume 122, Issue 4 , Pages 329-332, April 2009

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