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时间:2018-10-05
《高血压英文ppt精品课件congestive heart 》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、CongestiveheartfailureIvanCerovečkiMentor:A.ŽmegačHorvatElementarynotionsCardiacoutputPeripheralcirculationPreloadAfterloadDefinitionofCHFComplexsyndromeImpairedfunctionoftheheartCompromisedperipheralperfusionEpidemiologyPrevalenceinEurope:2%Prevalence>65yrs:10%1styearmortality:30–40%
2、5yearmortality:60–70%ClinicalcharacteristicsAcuteheartfailureChronicheartfailureClinicalcharacteristicsLeftheartfailureRightheartfailureBiventricular(congestive)heartfailureAetiologyCardiacpathologyIschaemicheartdiseaseHypertensiveheartdiseaseCardiomyopathyValvularheartdiseaseCongenit
3、alheartdiseasePericardialdiseaseAetiologyExtracardiacpathologyPulmonarydisease:pulmonaryembolismEndocrineandmetabolicdiseaseInfectivediseaseToxicsubstances:alcoholPathophysiologySympatheticactivationIncreasedheartrateIncreasedmyocardialcontractilityVenousvasoconstrictionArteriolarvaso
4、constrictionPathophysiologyRAASsystemArteriolarvasoconstrictionFluidretentionPathophysiologyNatriureticpeptidesDiureticeffectNatriureticeffectHypotensiveeffectPathophysiologyVentriculardilatationIncreaseinmetabolicrequirementsClinicalfeaturesCommonsymptomsFatigueDyspnoeaPalpitationsWe
5、ightgainClinicalfeaturesLeftheartfailureParoxysmalnocturnaldyspnoeaOrthopnoeaBasallungcracklesPresenceofthethirdheartsoundClinicalfeaturesRightheartfailureJugularvenousdistensionHepatomegalyPeripheraloedemaDiagnosticsChestX-rayECGBloodtestsEchocardiographyNatriureticpeptideTreatmentVa
6、sodilatortherapyACEinhibitorsAngiotensinIIreceptorantagonistsNitratesHydralazineTreatmentβ–blockersMetoprololBisoprololCarvedilolTreatmentDiureticsLoopdiureticsThiazidediureticsPotassium–sparingdiureticsTreatmentDigoxinDopamineDobutamineAntiarrhythmicdrugsTreatmentRevascularizationBiv
7、entricularpacemakerCardiactransplantationReferencesVrhovacBetal:Internamedicina,NakladaLjevak,2008BallingerA,PatchettS:PocketEssentialsofClinicalMedicine,ElsevierSaunders,2007UnitedStatesNationalLibraryofMedicine(nlm.nih.gov)Wikipedia(wikipedia.org)Theend
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