心力衰竭患者使用可兰特的经验.pptx

心力衰竭患者使用依伐布雷定1例;;入院查体;入院诊 断;心脏彩超;心电图;胸片;辅助检查;入院第一周生命体征，出入量;入院第一周治疗;入院第二周治疗;可兰特?治疗心衰患者用法用量;入院第二周生命体征，出入量;电话随访;地位等同？;2016年中国心力衰竭指南;Β受体阻滞剂治疗心力衰竭机制;伊伐布雷定治疗心力衰竭机制;2016ESC：伊伐布雷定治疗心力衰竭适应症;什么时候开始使用伊伐布雷定？ 是否越早用越获益？ 美托洛尔使用达到最大耐受剂量时 或还未达最大耐受剂量时？ ;;Effect of early treatment with ivabradine combined with beta-blockers versus beta-blockers alone in patients hospitalised with heart failure and reduced left ventricular ejection fraction (ETHIC-AHF): A randomised study. Int J Cardiol ,2016 Aug 15;217:7-11. ;1 HR at 28 days and at 4months, after discharge were significantly lower in the intervention group. ;4The early coadministration of ivabradine and beta-blockers is feasible and safe.;