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white and gold louis vuitton beltLeft ventricular dysfunction (LVD) with subsequent congestive heart failure (CHF) constitutes the final common pathway for a host of cardiac disorders. Coronary artery narrowing or ischaemic heart disease is the dominant cause of heart failure and is often associated with acute or prior myocardial infarction.
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Left ventricular systolic dysfunction is common postoperatively and is treated with optimization of preload, maintenance of a high normal heart rate (e.g., with pacing at 90/min), and inotropic support (see Chapter 21). Echocardiography and a pulmonary artery catheter are helpful to guide therapy.
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