Impaired cardiac pumping functioning caused by damage to the heart from decreased blood supply.
High proportion of patients with congestive heart failure have left ventricular dysfunction secondary to coronary artery disease, but have low rate of myocardial infarction.
Low levels of total cholesterol and poor outcomes associated with systolic congestive heart failure.
Present guidelines recommend initiating treatment for asymptomatic systolic dysfunction with ACE inhibitors and beta blockers before the onset of symptoms of heart failure.