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. 2020 Jun 30;12(6):e8930. doi: 10.7759/cureus.8930

Table 3. Comorbidities/mortality - the heart failure cause/solution.

Hs-CRP: high-sensitivity C-reactive protein; RV: right ventricle; LV: left ventricle; LBBB: left bundle branch block; IVCD: intraventricular conduction delay; Bi-V: biventricular; IV: intravenous: intravenous immunoglobulin

Comorbidity Absolute Mortality (-) Harm Ref Cause Solution
Renal Insufficiency % decrease per mL/m of creatinine clearance -1% [25] Over diuresis Stop diuresis
Bladder obstruction Bladder scan urology consult
Neurogenic Straight catheterization
Males – prostrate Green-light vaporization
Females – pelvic floor Straight catheterization
Medications Stop offending agent
Decreased cardiac output Increase cardiac output
RV failure or restrictive LV Increase heart rate
Arrhythmia conduction -11% [26] Atrial fibrillation Rate or rhythm control
-19.4% [27] Ventricular tachycardia Treat CHF – anti-arrhythmic
    Bradycardia – Heart block Decrease blockers pacemaker
-3.1% [28] LBBB/IVCD Bi-V pacemaker/Defibrillator
Pulmonary hypertension -25.6% [5-7] Obstructive sleep apnea CPAP
Lung disease Optimize medications – O2
Diastolic dysfunction Medications - increase HR
Valvular dysfunction Valvular intervention
Pericardial disease Medications or intervention
Anemia -17.3% [29] Iron deficiency IV iron therapy
Inflammation Colchicine
Renal insufficiency Erythropoietin therapy
Myelodysplasia Erythropoietin therapy
Testosterone deficiency Testosterone replacement
Vitamin deficiencies Vitamin supplement
Infection -.8% [30] Flu - viral illness Immunizations
Bacterial Illness Immunizations
Myocarditis Endocarditis IVIG
Inflammation Hs-CRP -32% [31] Abnormal immune response Colchicine
Lymphatic dysfunction     Thoracic duct injury Lymphedema boots
Inhibiting medications Discontinue offending agent
Infection tissue injury Treat and support
Edema -6% [32] Dietary salt intake Dietary management
Inflammation ?
Iatrogenic medications Remove agents
Lymphatic dysfunction Lymphedema boots
Coronary disease -28% [33] Recurrent myocardial infarction Surgery; Colchicine
Ischemic mitral regurgitation -20% [34] Annular dilation, LV geometry Surgery
Diabetes II -10.2% [35] Insulin excess; Lack of exercise; Excessive calories Emplaglitizone; Exercise; Good nutrition