Goal Directed Medical Therapy (GDML) for Chronic Heart Failure–Practical Guidance

Goal directed medical therapy (GDMT) for chronic heart failure is complicated and reference 1 from the European Journal of Heart Failure has excellent practical advice on how to use ACE inhibitors, ARBs, beta blockers, and aldosterone antagonists.

Reference 1 states [about diuretics]

The first two figures in this post are from the  from the ESC Heart Failure Guidelines (reference 2). The rest of the figures are from reference 1.

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Resources:

(1) Practical recommendations for the use of ACE inhibitors, beta-blockers, aldosterone antagonists and angiotensin receptor blockers in heart failure: Putting guidelines into practice. [PubMed Abstract] [Full Text HTML] [Full Text PDF] European Journal of Heart Failure: Volume 7, Issue 5, pages 710–721, August 2005.

(2) ESC Guidelines for the diagnosis of acute and chronic heart failure 2012. [PubMed Citation][Full Text HTML] [Full Text PDF] Eur J Heart Fail. 2012 Aug;14(8):803-69.

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