title: New hope for failing hearts.
abstract: Major changes in our understanding of congestive heart failure have resulted from an etiologic shift, identification of neurohormonal effects, and a realization of the importance of diastolic dysfunction. Accordingly, management has changed. Digitalis should be avoided with diastolic dysfunction. When the dysfunction is systolic, a regimen of digitalis, diuretic and ACE inhibitor may be optimal.
authors.affiliation: Division of General Medicine, Medical College of Virginia/Virginia Commonwealth University, Richmond.
authors.forename: B P
authors.initials: BP
authors.lastname: Schmitt
mesh_terms: D000368:Aged; D003327:Coronary Disease / Q000150:complications; D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D013599:Systole / Q000502:physiology; D016277:Ventricular Function, Left / Q000502:physiology