Congestive heart failure in the elderly: Part two

This is the second part of a two-part article on congestive cardiac failure, a disorder that affects more than 50% of the elderly.

Although diastolic and systolic cardiac failure are discussed separately, they usually co-exist and treatment depends on which is predominant.2,3,4

chest pain

Pharmacological therapy for diastolic cardiac failure
Beyond diuretics, drug therapy for diastolic cardiac failure is undefined. Judicious use of diuretics is indicated to maintain euvolaemia.

Overdiuresis should be avoided because excess reduction of left ventricular preload will result in reduced stroke volume and cardiac output.