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  • Title: [Cardiac insufficiency: therapeutic aspects in the elderly person].
    Author: Perrenoud JJ.
    Journal: Praxis (Bern 1994); 1996 Feb 06; 85(6):164-7. PubMed ID: 8701179.
    Abstract:
    Heart failure is at the same time a muscular and a neurohormonal disease. This explains the current therapeutic choices: in particular digitalis, ACE inhibitors, spironolactone and in certain patients even beta-blocking agents. Two different types of heart failure are distinguished today: systolic failure with pump failure and diastolic failure with deranged ventricular filling. In the elderly, the two entities occur either together or individually. A precise and early diagnosis is important for an appropriate treatment to be instituted as early as possible, even in the case of asymptomatic or subclinical heart failure.
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