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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