治疗慢性心衰的药物课件.pptVIP

治疗慢性心衰的药物;Definition and Clinical Features慢性心力衰竭(充血性心力衰竭) ;Definition and Clinical Features慢性心力衰竭(充血性心力衰竭) ;Systemic and Pulmonary Circulation;When left ventricle fails;Thickening of the respiratory membrane reduces O2 exchange;Enlarged heart (Contraction↓LVEDP↑) and pulmonary congestion (O2 Exchange↓);Clinical Features—Orthopnea特征与鉴别;Hypertension, Myocardial Hypertrophy and Diastole Dysfunction心肌肥厚与舒张功能障碍;Diastolic and Systolic Heart Failure舒张性心衰与收缩性心衰均表现为呼吸困难(肺淤血);;When the heart fails, arterial pressure reduces which causes the baroreceptor response and excitation of sympathetic nervous system (SNS) and renin-angiotensin-aldosterone system (RAAS).心输出量下降导致反射性交感神经系统及肾素血管紧张素醛固酮系统兴奋;Compensation mechanisms during chronic heart failure心衰代偿机制的不利影响;;Pharmacotherapy of CHF治疗慢性心衰的药物;Therapeutic Aims of CHF;Clinical conditions that precipitate deterioration of CHF;Pharmacotherapy of CHF治疗慢性心衰的药物;化学结构 基本骨架;Positive inotropic agents正性肌力药Cardiac glycosides 强心苷;MechanismCardiac glycosides 强心苷;洋地黄体内过程与给药特点;Adverse Effects of Cardiac glycosides 强心苷的不良反应;Positive inotropic agents正性肌力药Cardiac glycosides 强心苷;地高辛的应用与血药浓度监测;Use of Sympathomimetics in CHF交感激动药在慢性心衰中的应用与争议;Diuretics 利尿剂;Diuretics 利尿剂;Vasodilators 扩血管药;Use of β-blocker in CHFβ受体阻断药在慢性心衰中的应用;Heart function changes with the use of β-blocker in CHF;Inhibitors of Renin-Angiotensin System抑制肾素血管紧张素系统的药物;Pharmacotherapy of CHF治疗慢性心衰的药物;Pharmacotherapy of CHF治疗慢性心衰的药物;;; 心力衰竭新的分类方法 图示;Try mild exercise therapy for your CHF patients after symptom relief;补充幻灯;Cecil Medicine 24th edition开篇第一段;Feb 16, 2004 ;Osmotic Diuretics渗透性利尿药(脱水利尿药);Osmotic Diuretics渗透性利尿药(脱水利尿药);抗心力衰竭药物复习案例;充血性心力衰竭患者治疗中的部分问题;