The Etiologic Basis of Congestive Heart Failure

  • Joshua M. Hare


Appropriate management of congestive heart failure requires recognition of the underlying etiologic basis. Currently, sequelae of ischemic heart disease are the most common causes of congestive heart failure in the United States. Mechanical causes of heart failure, which include coronary artery, valvular, and pericardial disease, must be diagnosed correctly in order to offer appropriate surgical therapy. Primary diseases of the myocardium, ie,cardiomyopathies, account for approximately 20% of cases of congestive heart failure [1]. Many systemic diseases, such as rheumatologic disorders, metabolic derangements, toxin exposures, and endocrinopathies, may affect cardiac function and present as a cardiomyopathy [2]. Although these secondary cardiomyopathies are rare, taken together they represent a significant proportion of new cases of dilated cardiomyopathy. As with mechanical causes, recognition of secondary cardiomyopathies is essential because treatment may result in the reversal of cardiac dysfunction.


Dilate Cardiomyopathy Hypertrophic Cardiomyopathy Endomyocardial Biopsy Cardiac Amyloidosis Idiopathic Dilate Cardiomyopathy 
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© Springer Science+Business Media New York 2005

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  • Joshua M. Hare

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