TY - CHAP M1 - Book, Section TI - Congestive Heart Failure A1 - Hedayati, Tarlan A1 - Afifi, Negean A2 - Sherman, Scott C. A2 - Weber, Joseph M. A2 - Schindlbeck, Michael A. A2 - Rahul G., Patwari PY - 2014 T2 - Clinical Emergency Medicine AB - A normal ejection fraction does not exclude congestive heart failure (CHF), as CHF can occur secondary to either systolic or diastolic dysfunction.Nitroglycerin is the initial treatment of choice because it reduces both preload and afterload and rapidly improves patient symptoms.Consider acute coronary syndrome as the primary precipitant of CHF.CHF associated with cardiogenic shock maintains a very high mortality rate despite appropriate medical management. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/15 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1101223383 ER -