title: Office management of chronic systolic heart failure.
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.
authors.affiliation: G V (Sonny) Montgomery Veterans Affairs Medical Center, Jackson, MS 39216, USA.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Geraci
authors.forename: Jessie M
authors.initials: JM
authors.lastname: Spencer
authors.forename: Nancy D
authors.initials: ND
authors.lastname: Stubbs