课件：临床药理HF.ppt

Steps in the treatment of chronic heart failure. ________________________________________ 1. Reduce workload of the hearta. Limit activity levelb. Reduce weightc. Control hypertension2. Restrict sodium3. Restrict water (rarely required)4. Give diuretics5. Give ACE inhibitor and digitalis16. Give b-blockers to patients with stable class II-III heart failure7. Give vasodilators __________________________________________ 1Many clinicians use angiotensin-converting enzyme inhibitors before digitalis. Summary On the basis of several recent large-scale clinical trials it appears that reduction in ventricular volume and perhaps a reduction in the risk of lethal ventricular arrhythmias are the keys to long-term improvement and survival of patients with CHF Emphasis on therapy for heart failure has shifted in the past several years from acute interventions to improve hemodynamics and inotropic state to long-term therapies that might slow or halt the progression of the disease Future therapies will most likely involve therapeutic strategies that prevent or minimize the remodeling processes in the heart and vasculature, and thereby arrest the syndrome at early stages of cardiac dysfunction 后面内容直接删除就行 资料可以编辑修改使用 资料可以编辑修改使用 主要经营：网络软件设计、图文设计制作、发布广告等 公司秉着以优质的服务对待每一位客户，做到让客户满意！ 致力于数据挖掘，合同简历、论文写作、PPT设计、计划书、策划案、学习课件、各类模板等方方面面，打造全网一站式需求 * * * * 治疗充血性心力衰竭药物 Drugs for Congestive Heart Failure 心力衰竭（heart failure）是各种原因引起的心肌舒缩障碍，导致心输出量不能满足机体需求的一组临床综合征。充血性心衰是其中最主要的一种。 慢性或充血性心力衰竭（congestive heart failure, CHF）是各种病因所引起的多种心脏疾病（冠心、高心、肺心、风心、心肌病等）的终末阶段，当静脉回流足够的情况下，心脏排出量绝对或相对减少，不能满足机体组织需求的一种临床或病理综合征。 心衰病人运动耐量下降，寿命缩短。 Concept: CHF is a complex clinical syndrome characterized by impaired ventricular performance, exercise intolerance, a high incidence of ventricular arrhythmias, and shortened life expectancy The signs and symptoms The signs and symptoms of heart failure include tachycardia, decreased exercise tolerance and shortness of breath, peripheral and pulmonary edema, a