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Previous Volume 351:1097-1105 September 9, 2004 Number 11 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 78-year-old woman with a history of hypertension is admitted to the hospital with congestive heart failure. Physical examination reveals a blood pressure of 180/90 mm Hg, increased jugular venous pressure, peripheral edema, and pulmonary rales. A chest radiograph shows pulmonary edema and mild cardiomegaly. An echocardiogram (Figure 1) shows increased thickness of the left ventricular wall, a left ventricular . . . [Full Text of this Article]

The Clinical Problem

Pathophysiological Features

Strategies and Evidence

Diagnostic Criteria

Diagnostic Techniques

Management

Initial Management

Long-Term Management

Revascularization

Treatment of Hypertension

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Division of Cardiology, Department of Medicine, University of Massachusetts Medical School, Worcester (G.P.A.); and the Department of Cardiovascular Medicine, Lahey Clinic, Burlington, Mass. (W.H.G.).

Address reprint requests to Dr. Aurigemma at the University of Massachusetts Medical School, 55 Lake Ave. N., Worcester, MA 01655, or at aurigemg@ummhc.org.

Related Letters:

Diastolic Heart Failure
Arias M. A., Alonso A., García-Río F., Aurigemma G. P., Gaasch W. H.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:307-308, Jan 20, 2005. Correspondence

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