慢性心衰指南ppt课件（_52页）.pptVIP

Relationship between cardiac dysfunction, HF and HF rendered asymptomatic;Diagnosis;Assessments in all cases Necessary Supports Opposes History with symptoms +++ If absent Objective evidence +++ If absent Response to treatment ++ ;Test Necessary Supports Opposes Electrocardiogram ++ If normal Echocardiography +++ If normal Chest x-ray If congestion If normal Blood count If normal Blood chemistry If normal;Additional Tests for Diagnosis;Test to Exclude Alternatives;Electrocardiography;Chest X-ray;Pulmonary function tests;Exercise testing ;Invasive investigation;Echocardiography;Natriuretic Peptides;Natriuretic Peptides;Other neuroendocrine evaluations;Suspected Heart Failure because of symptoms and signs;Management Outline;Guidelines Treatment - Contents;;General Measures and Advice;General measures and advice;General measures and advice;Ace-inhibitors;The recommended procedure for starting an ACE inhibitor;Beta-blockade in Heart Failure;Initiation and uptitration of beta-blockade in heart failure; Spironolactone in Heart Failure;Administration and Dosing Considerations with Spironolactone;Loop Diuretics, Thiazides and Metolazone;Potassium-sparing Diuretics;Angiotensin Receptor Blockers (ARB);Digitalis Glycosides;Vasodilators;Positive Inotropes;Antiarrhythmics in Heart Failure;Antiarrhythmics in heart failure (cont′d);Anti-thrombotic Therapy;Pacemakers;Surgery for Heart Failure;Choice of Pharmacological Therapy;Choice of Pharmacological Therapy;Pharmacological Therapy of Heart Failure due to Systolic Left Ventricular Dysfunction;Conclusions;Conclusions (cont′d);Task Force;Working Schedule;Guidelines for Heart Failure Treatment based on Level of Evidence;Natriuretic Peptides;Natriuretic Peptides;Natriuretic Peptides;Conclusions;Suspected Heart Failure because of symptoms and signs