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Left Ventricular Systolic Dysfunction ... - Clinical pathways

criteria: • LV ejection fraction ≤ 35%, and previous MI; or • NYHA class III or IV symptoms, and LBBB Specialist advice may be appropriate for some patients with HF and a co-morbidity, such as: • angina • renal impairment, e.g. serum creatinine level > 200micromol/L • anaemia • thyroid disease • severe peripheral arterial disease

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