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Is LVH serious? Left ventricular hypertrophy : An overlooked cardiovascular risk factor. ABSTRACT Left ventricular hypertrophy (LVH) is common in hypertensive patients, and it increases the risk of myocardial infarction, stroke, and death. LVH is caused by a chronically increased cardiac workload, most commonly from hypertension.
Is digoxin still used for heart failure? Digoxin should be used as a second-line drug after diuretics, angiotensin-converting enzyme inhibitors and beta-blockers in patients with congestive heart failure who are in sinus rhythm. Digoxin should be used as a first-line drug in patients with congestive heart failure who are in atrial fibrillation.
Can you use diltiazem in heart failure? The clinical experience with verapamil and diltiazem in patients with heart failure is at present limited. In patients with normal or mildly impaired left ventricular function, verapamil's vasodilator and negative inotropic effects are counterbalanced.
What causes left ventricular diastolic dysfunction? Factors that increase the risk of the ventricular walls becoming stiff are therefore considered risk factors for diastolic dysfunction. High blood pressure causes the heart to pump harder to push blood through the vessels of the body and this can eventually thicken the muscles of the left ventricle.
How do you treat diastolic dysfunction? Treatments for diastolic failure have included diuretics, ACEIs, ARBs, beta-blockers, calcium channel blockers, digoxin, and statins. ACE inhibitors, propranolol, and statins reduce mortality in patients with diastolic heart failure.
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