Dilated cardiomyopathy on clinical treatment.docVIP

 PAGE \* MERGEFORMAT 9 Dilated cardiomyopathy on clinical treatment [Abstract] dilated cardiomyopathy (dilated cardiomyopathhy, DCM), past has called congestive cardiomyopathy. Characterized by left ventricle (the majority) or significant expansion of the right ventricle, or double room to expand, and are associated with different degrees of hypertrophy ventricular systolic dysfunction in cardiac enlargement, heart failure, arrhythmia, embolism as the basic features, although all age groups have the disease, but young is more common. more distributed fashion. about 20% of DCM patients with myocardial family history of disease. Keywords:] treatment of heart failure with dilated cardiomyopathy Most of DCM heart failure patients when medical, therapeutic purposes: ① to relieve symptoms and improve quality of life; ② keep the heart and prolong survival time. Mild heart failure, the main is to protect the myocardium, severe heart failure, you must first alleviate the symptoms, taking into account the protection of the heart. Therapeutic measures include the following. (1) control the amount of salt into the water and salt retention by the control, reduce the heart before and after the load and improve pump function. With symptoms of congestive heart failure patients, should be strictly limited sodium intake to 2g or 5g sodium chloride per day for the degrees. If the patients had hyponatremia (serum sodium lt;130mmol / L), the yet to strictly limit the water intake. (2) tonic 1) digitalis Role: digitalis inotropic agents is not just, still, directly or through reverse baroreceptor function recovery, blocked the increase in norepinephrine, adjust excessive neuroendocrine activity and enhanced vagal tone, to restore the function of baroreceptors treatment of heart failure. Indications: ① atrial fibrillation, ventricular rate faster, ② increased heart failure, ③ heart failure by diuretics, vasodilator therapy, unable to cont