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Over the past decade, the conceptual understanding of heart failure has changed significantly. Several large clinical trials have demonstrated that non-pharmacological and pharmacological interventions can dramatically reduce the morbidity and mortality associated with heart failure. Many clinical trials have extended the therapeutic paradigm for treating heart failure beyond the goal of limiting congestive symptoms of volume overload.
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Arrhythmias especially in presence of hypokalemia, lack of mortality benefit. However, their efficacy in reducing the symptoms of heart failure has been established. Digoxin should
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