Be Familiar With the Role of Nonstandard Heart Failure Meds

How should heart failure be managed if standard meds aren't enough?

Focus first on using an ACEI or ARB, "evidence-based" beta-blocker (carvedilol, etc), and aldosterone antagonist. This "3-legged stool" reduces mortality in heart failure with reduced ejection fraction (HFrEF).

Continue to emphasize med adherence...and titrating to target doses.

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