MMW Fortschritte der Medizin
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Comparative Study
[ACE inhibitors, beta blockers, AT-1 antagonists in heart failure. Right dosage and combination].
Medical treatment of chronic heart failure is applied in accordance with the recommendations of the Task Force Report of the European Society of Cardiology [9] adapted to the respective NYHA stage of the cardiac failure. Currently, it includes the use of ACE inhibitors, beta blockers, AT1 receptor antagonists, diuretics including the aldosterone antagonists, and digitalis. ⋯ The objective of more recent therapeutic concepts is to block neurohumoral achses or local maladaptation processes (e.g. endothelial antagonists, cytokine inhibition, apoptosis inhibition) activated during the heart failure, or to promote protective mechanisms (e.g. endopeptidase inhibition). Here, however, the results of ongoing or planned randomized studies have to be awaited.