[心功不全] 心力衰竭医嘱式诊疗常规(国外英语资料).docVIP

[心功不全] 心力衰竭医嘱式诊疗常规(国外英语资料) [heart failure] heart failure, doctors advice, routine treatment, routine Heart failure; routine prescription; routine treatment Grading of cardiac insufficiency (NYHA classification) (subjective) Level I: asymptomatic Stage II: severe labor with symptoms of heart failure Class III: general activity (such as walking) has symptoms Level IV: symptoms of heart failure at rest Stage of cardiac dysfunction (objective) Stage A: heart failure, high risk factors, no heart disease Stage B: organic heart disease with no symptoms of heart failure Stage C: symptoms of heart failure (present or past) Stage D: refractory heart failure Classification and diagnosis Chronic systolic heart failure, CHF The history, symptoms and signs of underlying heart disease; Left heart failure syndrome: progressive, active breathing difficulties Difficult, paroxysmal nocturnal dyspnea, sitting breathing Oliguria, cyanosis, double lung symmetry small blisters, The heart rate was increased by the gallop, the pulmonary valve area second Alternans alternans alternans. Right heart failure syndrome: anorexia, abdominal pain, Nocturia increased, engorgement of jugular vein and sublingual vein, Jugular venous pulse enhancement, hepatomegaly with tenderness, The jugular vein reflux sign is positive, and the lower extremities are concave Edema. Peripheral cyanosis. Left ventricular enlargement and left ventricular end systolic volume The increase is less than or equal to 40% and LVEF; Chest X-ray: pulmonary congestion and interstitial pulmonary edema (Kerley, B line, interlobular fissure effusion) Two. Diastolic heart failure Have a history, symptoms, and signs of underlying heart disease; Left heart failure syndrome, right heart failure syndrome, chest X-ray, and systolic heart failure Colour Sonography： A left atrium enlargement; B left ventricle was not enlarged; C, LVEF 50%; d had left ventricular relaxation decrease, elevated stiffness or abnormal filling; E/A 1.2 Three. A