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Revista Cubana de Medicina

versão impressa ISSN 0034-7523versão On-line ISSN 1561-302X

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NEGRIN EXPOSITO, José E et al. Insuficiencia cardíaca crónica. Rev cubana med [online]. 2001, vol.40, n.3, pp.195-211. ISSN 0034-7523.

A review on heart failure, a syndrome whose prevalence increases every day, is made. Its main causes are still ischemic heart disease and arterial hypertension. The systolic or diastolic predominance of dysfunction may have therapeutic implications. It has been demonstrated that the echocardiogram has made possible the early detection of dysfunction, wich has allowed to prevent the passage to more advanced stages of the disease by administering angiotensin-converting enzyme inhibitors. The approval of the use of beta blockers in these patients is a real revolution in the field of cardiovascular therapy. Old drugs like digoxin, spironolactone and amiodarone have recovered their places in the treatment of selected individuals. The calcium antagonists have proved not to be beneficial, whereas the antagonists of angiotensin II receptors seem to be promissory. The treatment was updated in connection with evidence-based medicine

Palavras-chave : HEART FAILURE, CONGESTIVE [diagnosis]; HEART FAILURE, CONGESTIVE [etiology]; HEART FAILURE, CONGESTIVE [therapy]; ECHOCARDIOGRAPHY; ANGIOTENSIN-CONVERTING ENZYME INHIBITORS; ADRENERGIC BETA ANTAGONISTS; EVIDENCE-BASED MEDICINE.

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