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Review
. 2022 Jun 8;14(6):e25745.
doi: 10.7759/cureus.25745. eCollection 2022 Jun.

Post-myocardial Infarction Heart Failure: A Review on Management of Drug Therapies

Affiliations
Review

Post-myocardial Infarction Heart Failure: A Review on Management of Drug Therapies

Gautam Swaroop. Cureus. .

Abstract

After myocardial infarction (MI), patients are at a greater risk of heart failure. Post-MI patients with left ventricular systolic dysfunction have a higher risk of mortality or morbidity. Strong and compelling data from randomized trials have demonstrated that drug therapies intended for preventing post-MI remodeling with neuro-hormonal inhibitors can considerably improve short- and long-term outcomes, including death, reinfarction, and worsening heart failure. This article aims at summarizing clinical data on established pharmacological therapies in treating post-MI patients with or without left ventricular systolic dysfunction (LVSD), and with or without signs and symptoms of heart failure.

Keywords: angiotensin receptor neprilysin inhibitors; angiotensin-converting enzyme inhibitors; heart failure; mineralocorticoid receptor antagonists; post-myocardial infarction; sodium-glucose co-transporter-2 inhibitors; soluble guanylate cyclase stimulators; β-blockers.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Treatment goals in patients with heart failure with reduced ejection fraction

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