title: Progressive congestive heart failure. Ways to approach office management.
abstract: Treatment of congestive heart failure depends on the cause, precipitating factors, and symptoms of the disease in each patient. Dr Kahn outlines the use of the three main types of pharmacologic agents given for heart failure--diuretics, vasodilators, and digoxin. He describes a stepwise regimen, whereby agents are added as needed to improve symptoms and prolong life.
authors.affiliation: Michigan Heart and Vascular Institute, St. Joseph Mercy Hospital, Ann Arbor.
authors.forename: J K
authors.initials: JK
authors.lastname: Kahn
mesh_terms: D000553:Ambulatory Care / Q000592:standards*; D002908:Chronic Disease; D002985:Clinical Protocols / Q000592:standards*; D004077:Digoxin / Q000627:therapeutic use*; D004232:Diuretics / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D006333:Heart Failure / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D006439:Hemodynamics; D006760:Hospitalization; D006801:Humans; D009819:Office Visits; D011379:Prognosis; D014665:Vasodilator Agents / Q000627:therapeutic use*
chemical_list: D004232:Diuretics; D014665:Vasodilator Agents; D004077:Digoxin