How do you treat systolic dysfunction,”mnemonicDiureticSpironolactone (reduces mortality in class III and IV)ACEI > ARB > hydralazine + nitrateBB – metoprolol

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How do you treat systolic dysfunction,”mnemonicDiureticSpironolactone (reduces mortality in class III and IV)ACEI > ARB > hydralazine + nitrateBB – metoprolol

carvediol (reduces mortality; DN give in class IV)Digoxin if EF < 40%Avoid NSAID and metformin in CHF"