Arq. Bras. Cardiol. 2017; 109(2): 165-168
Hypotension and Renal Dysfunction: The Ghosts of Heart Failure
DOI: 10.5935/abc.20170110
Hypotension, bradycardia and renal dysfunction as obstacles to the treatment of heart failure
Heart failure (HF) is a chronic, high morbidity and high cost disease. The treatment of HF due to left ventricular (LV) systolic dysfunction is well determined and is listed in Medical Guidelines. However, innumerable situations may limit treatment, causing the physician to fail to implement the guidelines. Some serious patients may not tolerate medications or recommended doses; others may have side effects. In some cases, however, there is an excess of caution, failing to prescribe the recommended treatment, fearing complications. The purpose of this article is to demystify, based on the literature, some situations that may prevent the optimized drug treatment from being offered to the HF patient.
The two major side effects that may act as barriers to the treatment of HF are hypotension and worsening renal function. Besides these, we will comment on bradycardia and hyperkalemia.
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