Evidence-Based Management of Acute Heart Failure

被引:25
作者
Gupta, Arjun K. [1 ]
Tomasoni, Daniela [2 ,3 ]
Sidhu, Kiran [4 ]
Metra, Marco [2 ,3 ]
Ezekowitz, Justin A. [1 ,5 ]
机构
[1] Univ Alberta, Dept Med, Div Cardiol, Edmonton, AB, Canada
[2] Univ Brescia, Inst Cardiol, ASST Spedali Civili Brescia, Brescia, Italy
[3] Univ Brescia, Dept Med & Surg Specialties Radiol Sci & Publ Hlt, Brescia, Italy
[4] Univ Manitoba, Sect Cardiol, Max Rady Coll Med, Winnipeg, MB, Canada
[5] Univ Alberta, Canadian VIGOUR Ctr, Edmonton, AB, Canada
关键词
REDUCED EJECTION FRACTION; IN-HOSPITAL MORTALITY; SHORT-TERM MORTALITY; CARDIOVASCULAR MORTALITY; NONINVASIVE VENTILATION; INTRAVENOUS MILRINONE; OMECAMTIV MECARBIL; EUROPEAN-SOCIETY; ELDERLY-PATIENTS; CLINICAL-COURSE;
D O I
10.1016/j.cjca.2021.01.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute heart failure (AHF) is a complex, heterogeneous, clinical syndrome with high morbidity and mortality, incurring significant health care costs. Patients transition from home to the emergency department, the hospital, and home again and require decisions surrounding diagnosis, treatment, and prognosis at each step of the way. The purpose of this review is to examine the epidemiology, etiology, and classifications of AHF and specifically focus on practical information relevant to the clinician. We examine the mechanisms of decompensation relevant to clinical presentationsdincluding precipitating factors, neuroendocrine interactions, and inflammationdalong with how consideration of these factors may help select therapies for an
引用
收藏
页码:621 / 631
页数:11
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