心力衰竭与治疗慢性心衰的药物.pptx

;Pharmacotherapy of Congestive Heart Failure充血性心力衰竭的药物治疗;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↓);Definition and Clinical Features慢性心力衰竭(充血性心力衰竭) ;Clinical Features--Orthopnea;Hypertension and Myocardial Hypertrophy;Diastolic and Systolic Heart Failure;76 yo W, Hx MI, CABG Dyspnea, Edema;Basis for compensation during chronic heart failure;;心（泵）功能的调节;Myocardial Blood Supply心脏血液灌注;Basis for compensation during chronic heart failure;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;Compensation mechanisms during chronic heart failure;Compensation mechanisms during chronic heart failure;;Therapeutic Aims of CHF;Clinical conditions that precipitate deterioration of CHF;Case-1;Case-1;Case-2;Case-3;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;Positive inotropic agents正性肌力药Cardiac glycosides 强心苷;Positive inotropic agents正性肌力药Cardiac glycosides 强心苷;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;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;Inhibitors of Renin-Angiotensin System抑制肾素血管紧张素系统的药物;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.;