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? about CHF & cardiac function?

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If a person with congestive heart failure complains that the condition gets worse when they worry and are under a lot of stress, what effects of stress on the neuroendocrine control of cardiac function and what is its possible relationship to worsening the CHF?

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  1. If the aetiology is based on coronary artery disease, for example, anything positive inotrope (e.g. catechoamine) can potentially lead to untoward effects or precipitate cor pulmonale, etc.

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