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today we are going to study chronic management of heart failure with reduced ejection friction so the heart failure uh is nowadays divided into either preserve ejection fraction or reduce ejection fraction the preserve ejection fraction is ejection fraction more than 50 percent and the reduced ejection friction or we also said half ref r stands for reduced is less than 40 percent so after managing that those patients acutely in the hospital like how do we manage these patients on chronic basis like which medication which we send them on chronically so the first group of medication that prolong the survival of this patient are angiospensen system blockers theyamp;#39;re like three groups of medication that block the angiotensin system first are ar and iamp;#39;s that is angiotensin receptor nephrolysin inhibitor is inhibitor or angiotensin receptor blockers so ing to the new recommendations air and eyes are preferred or ace inhibitor and the aamp;#39;s are preferred over arbs previou
