Treatment

更新于 2026年10月31日 版权声明
4.Treatment

(1)Treatment of underlying diseases.

(2)weight-reduction if obese,Salt-poor diet.

(3)avoid drugs,which may aggravate cardiac failure(NSAID,steroids,doxo-/daunorubicin etc.).

(4)Bedrest oxygen etc.in acute exacerbation.

(5)Drugs,the long-term therapeutic can have obvious effect.esp especially:ACE-inhibitors,AT1-blockers,cardio selectiveβ-blockers,Spironolactone.

(6)Drugs can improve symptoms,but not long-term medication,esp especially:Diuretics,digoxin,dopamine,dobutamine,nitrates.

(7)Digoxin:in cases of heart failure associated with atrial fibrillation(and stage4).

(8)Other drugs:-nitrates/hydralazine in pulmonary edema,if available+BP ok.

dopamine/dobutamine In cardiac failure with cardiogenic shock.

Treatment acc.To NYHA-staging

Stage1:ACE-inhibitor.

Stage2:ACE-inhibitor+cardio-selectiveβ-bloker.

Stage3:ACE-inhibitor+cardio-selectβ-bloker+frusemide(po/iv)(+spironolacton).(https://www.daowen.com)

Stage4:ACE-inhibitor+cardio-selectiveβ-bloker+frusemide(iv)+spironolacton.

Abbreviations

JVP:颈静脉搏动

Abd:腹部

Kerley B-lines:柯斯B线

ECHO/abdominal:心脏/腹部B超

occ(occasionally):偶尔

TX(treatment):治疗

U&E:尿和电解质

NSAID:非甾体抗炎药

BP:血压

NYHA-staging(New York Heart Association):纽约心脏协会分期

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