Newer drugs and experimental drugs
Nesiritide, (Synthetic Brain naturetic peptide ) Tolvapton ( Vasopressin antagonist) are used with varying success .
20 point bed side prescription tips for refractory failure.
Three principles of management in refractory cardiac failure
Functional capacity has a poor correlation with LV contractile function . The skeletal muscle integrity , blood flow , and its metabolism has critical say in this. Optimal medications , properly regulated locomotion , weight reduction can have a major impact.