2014-206ESC急慢性心衰诊治指南要点.pptVIP

指南原文: For high-risk patients (i.e. with persistent, significant dyspnoea,haemodynamic instability, recurrent arrhythmias, AHF and associated ACS), initial care should be provided in a high-dependency setting(ICU/CCU). The criteria for ICU/CCU admission include any of the following: – need for intubation (or already intubated) – signs/symptoms of hypoperfusion – oxygen saturation (SpO2) ＜90% (despite supplemental oxygen) – use of accessory muscles for breathing, respiratory rate＞25/min – heart rate ＜40 or ＞130 bpm, SBP ＜90 mmHg * 早期：稳定血液动力学，稳定呼吸功能、改善症状、保护器官；中期、确定病因、调整治疗、控制症状。出院前;制定出院计划、随访、康复。 *