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Guidelines for the management of patients with heart failure (HF) use subtypes based on cutoffs of LVEF: reduced LVEF (HFrEF, LVEF 50%). However, LVEF is not static, and therapies might not be optimally determined solely based on LVEF.Congestive heart failure due to left ventricular systolic dysfunction. Left heart failure. Clinical Information. Failure of adequate output by the left ventricle despite an increase in distending pressure and in end-diastolic volume, with dyspnea, orthopnea, and other signs and symptoms of pulmonary congestion and edema.

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