S-HF = Patient with Systolic Heart Failure, LVEF <40%.
LVEF = Left Ventricular Ejection Fraction.
AFIB = Atrial FIBrillation.
FUROS = FUROSemide 40 mg IV load followed by 20 mg/hr.
ACEI = ACE-Inhibitor enalapril 2.5 mg BID, captopril 6.25 mg TID, lisinppril 5–10 mg daily titrated to a maintenance dose. If patient unable to tolerate ACE inhibitors, give angiotensin II receptor blocker (ARB) valsartan orally 40 mg BID titrated to a maintenance dose of 80–160 mg BID.
BB = Carvedilol 3.125 mg BID titrated to 25 mg BID or oral extended release metoprolol 25 mg QD upto 100 mg QID.
DIG = DIGoxin 0.125 to 0.25 mg QD for 2 days followed by 0.25 od maintenance dose.
HYD = HYDralazine 25–50 mg 3–4 times daily up to 300 mg in divided doses.
NIT = Isosorbide diNITrate 20–30 mg 3–4 times a day.
INTOL-ACEI = Patients who are INTOLerable to ACE Inhibitors or angiotensin II receptor blockers.
INEFF = INEFFective treatment with furosemide and enalapril, with patient exhibiting symptoms of heart failure (dyspnea, weakness, elevated BP).