心力衰竭内科疾病课件.pptVIP

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心力衰竭内科疾病课件

EFIM Beziers 2007 Heart Failure A Disease for the Internist Dr Chris Davidson Sussex Cardiac Centre BRIGHTON UK Heart Failure – a typical case? Medical Assessment Unit 78 year old woman Hypertension ; type II Diabetes AF 110/min, 180/80, JVP+, oedema++ CXR: cardiomegaly, pulmonary congestion ECG: AF, LBBB Heart Failure A Disease for the Internist Who looks after patients with Heart Failure? Use of Evidence-based Treatments The problem of Heart Failure with ‘Preserved’ LV function Co-Morbidity in Heart Failure How do we prevent early relapse? EuroHeart Failure Survey Heart Failure in France Cohen-Solal et al European Heart Journal (2000) 21, 763–769 HEART FAILURE How Serious? Epidemiology of Heart Failure: Framingham Study MORE MALIGNANT THAN CANCER? Stewart S et al. Eur. J Heart Failure (2001) 3 315-322 HEART FAILURE What are the recommended treatments? HF – Trial Evidence ACE inhibitors Vasodilators: Hydrallazine/Nitrate Beta-Blockers Spironolactone Angiotensin Receptor Blockers Exercise Training Biventricular Pacing / Defibrillators Cardiac Transplantation Mortality Benefit of Treatments in Heart Failure Euro Heart Failure Survey: Use of ACEI and BB Guidelines for the Treatment of Heart Failure American Heart Ass. / American College of Cardiology Chronic Heart Failure 2005 J Am Coll Cardiol 2005; 46:1116-43 European Society of Cardiology Chronic Heart Failure 2005 EHJ 2005;26:1115-1140 European Society of Cardiology Acute Heart Failure 2005 EHJ 2005;26:384-416 Heart Failure – a typical case? Medical Assessment Unit 78 year old woman HT ; type II Diabetes SR 110/min, 180/80, JVP+, oedema++ CXR: cardiomegaly, pulmonary congestion ECG: AF, LBBB HEART FAILURE Systolic vs. Diastolic Dysfunction EuroHeart Failure Study: Preserved vs Impaired LV Function (EF 40%) Patients with echo assessment: n = 6806 54% impaired LV : 46% ‘preserved’ LV ‘Preserved’ LV function women men 4 years older Hypertension more common PATHO-PHYSIOLOGY OF HEART FAILURE HEA

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