RT Book, Section A1 Hedayati, Tarlan A1 Afifi, Negean A2 Sherman, Scott C. A2 Weber, Joseph M. A2 Schindlbeck, Michael A. A2 Rahul G., Patwari SR Print(0) ID 1101223383 T1 Congestive Heart Failure T2 Clinical Emergency Medicine YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179460-2 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1101223383 RD 2024/10/05 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.