(精选)【体外膜肺ECMO精品课件】 Acute Heart Failure教学课件.pptVIP

Acute Heart Failure Kendra Marsh, MD Clinical Instructor, Cardiology Fellow Department of Cardiology University of Illinois at Chicago ;Objectives;Definitions Epidemiology Pathophysiology Diagnosis Management Summary of Guidelines Recommended Reading ;Acute Heart Failure;Related Clinical Conditions;Killips Classification ;Clinical Severity Classification;Definitions Epidemiology Pathophysiology Diagnosis Management Summary of Guidelines Recommended Reading ;In an effort to maintain adequate tissue perfusion the body has three defenses: increase heart rate, vascular tone and circulating volume. ;;;;;Definitions Epidemiology Pathophysiology Diagnosis Management Summary of Guidelines Recommended Reading ;;;;;Definitions Epidemiology Pathophysiology Diagnosis Management Summary of Guidelines Recommended Reading ;General Therapeutic Approach;;Oxygen;Pharmacotherapy;Morphine ;Anticoagulation;Vasodilators ;Niseritide ;Vasodilators in the Management of Acute Heart Failure Trial (VAMC);Summary of Vasodilators ;Diuretics;Diuretic Resistance can be associated with increased mortality.;Ultrafiltration;Beta Blockers ;Inotropic Agents ;Dopamine and Dobutamine;Phosphodiesterase Inhibitors;Outcomes of a Prospective Trial of Intravenous Milrinone For Exacerbations of Congestive Heart FailureOPTIME-CHF JAMA 2002;Levosimendan;Clinical Trials;Pressors;;Cardiac and Ventricular Assist Devices ;Temporary Devices;IABP;ECMO;Temporary Devices:Tandem Heart pVAD;Longer-term implantable devices;;Operative Mortality Prediction Score;Novacor- Long-term Device ;Heart-mate;HeartMate II;;;;;Suggested Reading ;Thank you!