Folia Medica Indonesiana
ISSN 0303-7932
Vol. 45 / No. 2 / Published : 2009-04
Order : 11, and page :155 - 160
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Original Article :
Review article: management of subclinical ventricular dysfunction
Author :
- Rochmad Romdoni*1
- Department of Cardiology and Vascular Medicine, Airlangga University School of Medicine, Dr. Soetomo Teaching Hospital, Surabaya
Abstract :
Sub Clinical Ventricular Dysfunction (SCVD) or Asymptomatic left ventricular dysfunction (ALVD) is a precursor of heart failure and cardiovascular deaths. Risk factors of progression of ALVD are elderly, male, coronary artery disease (CAD), hypertension and diabetes mellitus. Both ACE inhibitors and ß-blockers could limit the progression of ALVD and reduced the risk of mortality and hospitalization. Roles of digoxin and aldosterone antagonists remained undefined in this population. Prophylactic therapy with implantable cardioverter defibrillator (ICD) could be reasonable in patients with post-myocardial infarction. Control of risk factors and comorbid conditions could slow down progression to overt heart failure. Therefore, early identification of ALVD through screening is of paramount importance.
Keyword :
Asymptomatic left ventricular dysfunction, ACE inhibitors, ß-blockers,
References :
Dickstein, K, Cohen-Solal, A, Filippatos, G, McMurray, JJV, Ponikowski, P, Poole-Wilson, PA, et al,(2008) Diagnosis and treatment of acute and chronic heart failure, in A Vahanian, J Camm, R De Caterina, V Dean, K Dickstein, G Filippatos, et al (eds), ESC Guidelines Desk Reference London : Lippincott Williams & Wilkins
Hunt, SA & Jessup, M,(2009) Heart failure, in V Fuster (ed), The AHA Guidelines and Scientific Statements Handbook.1st edn Dallas : Blackwell Publishing
Opie, LH, Poole-Wilson, PA & Pfeffer, MA,(2005) Angiotensin-Converting Enzyms (ACE) Inhibitors, Angiotensin-II Receptor Blockers (ARBs), and Aldosterone Antagonists, in LH Opie & BJ Gersh (eds), Drugs for the Heart, 6th ed Philadelphia : Saunders Elsevier
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