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| ArticleTitle | Back to the Future: Pathophysiology and Therapeutic Strategies in Heart Failure | 
| AuthorList | Yoshihiko Seino | 
| Affiliation | First Department of Internal Medicine, Nippon Medical School | 
| Language | JA | 
| Volume | 71 | 
| Issue | 6 | 
| Year | 2004 | 
| Page | 421-425 | 
| Received | February 26, 2004 | 
| Accepted | March 10, 2004 | 
| Keywords | heart failure, evidence based medicine, beta-blocker, angiotensin receptor blockade, troponin T | 
| Abstract | The present paper reviews the pathophysiology and therapeutic strategies in heart failure based on clinical investigations performed in our institute, and also recently reported large-scale double-blind clinical trials for the medical treatments of heart failure. Careful introduction of beta-blocker therapy along with RAAS inhibitors (ACE inhibitor, ARB, and/or aldosterone antagonist) should bring about marked improvement in mortality and morbidity in all subgroups of patients with heart failure. | 
| Correspondence to | Yoshihiko Seino, MD, First Department of Internal Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan y-seino@nms.ac.jp  |  
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