title: Treatment of Older Patients With CHF Associated With Normal LVEF.
abstract: CHF with a normal LVEF should be treated with a low salt diet, cautious use of loop diuretics, and Ã -blockers. If CHF persists despite the use of diuretics and Ã -blockers, ACE inhibitors should be administered. If the patient cannot tolerate ACE inhibitors because of cough, rash, or altered taste sensation, angiotensin II type 1 receptor antagonists should be given. If CHF persists despite treatment with diuretics, Ã -blockers, and ACE inhibitors, isosorbide dinitrate plus hydralazine should be given. If the patient cannot tolerate Ã -blockers, ACE inhibitors, and angiotensin II type 1 receptor antagonists, isosorbide dinitrate plus hydralazine should be administered. If CHF persists despite the use of diuretics and the patient is unable to tolerate Ã -blockers, ACE inhibitors, and isosorbide dinitrate plus hydralazine, calcium channel blockers are preferred. Digoxin should be avoided if sinus rhythm is present.
authors: Hebrew Hospital Home, Bronx, NY and the Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York.
authors: Wilbert S.
authors: WS
authors: Aronow