心力衰竭的药物和器械治疗-课件.pptVIP

心力衰竭的药物和器械治疗 名词解释 CRT: 心脏再同步化治疗 ICD: 埋藏式心脏转复除颤器 CRTD： CRT＋ICD SCD-HeFT Sudden Cardiac Death In Heart Failure Trial 1996-2003 2521病人 比较胺碘酮和ICD对严重心衰患者生存情况的影响 心功能II-III EF0.35 无持续室性心动过速病史 SCD-HeFT结论 在II-III级心衰，EF .35，安慰剂组年中死亡率为7.2% ICD治疗降低死亡率23% 胺碘酮治疗不改善死亡率 * Angiotensin converting enzyme inhibitors are the best studied class of agents in HF, with multiple mechanisms of benefit for both HF, coronary disease, and other atherosclerotic vascular disease, as well as diabetic nephropathy. for initiation rather than maintenance of therapy. Which approach should be followed? In the c