TY - CHAP M1 - Book, Section TI - Chapter 2. Chronic Heart Failure A1 - Moranville, Michael P. A1 - Rodgers, Jo Ellen A2 - Sutton, S. Scott PY - 2011 T2 - McGraw-Hill's NAPLEX® Review Guide AB - Heart failure (HF) is a syndrome of reduced cardiac output (CO) compromising the metabolic needs of bodily organs and tissues. Heart failure may result from dilation of the left ventricle and a subsequent reduction in left ventricular function (dilated cardiomyopathy or systolic dysfunction). Alternatively, HF may result from hypertrophy and subsequent underfilling of the left ventricle (hypertrophic cardiomyopathy, diastolic dysfunction, or HF with preserved ejection fraction). Progressive HF often severely limits exercise capacity, and mortality is most commonly associated with sudden cardiac death (SCD) or pump failure. Chronic HF may be managed with lifestyle modifications, medications, and implantable devices to delay progression and reduce mortality. Medical management aims at disrupting the neurohormonal pathways that are associated with the disease. Key targets include the sympathetic nervous system (SNS) and the renin angiotensin aldosterone (RAA) system.1,2 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesspharmacy.mhmedical.com/content.aspx?aid=7250076 ER -