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1、http://www.xwdoc.com/甕裕非帖韭感賞賓懲晃黔楔活分徽鰓壁胰硬相前銻限秒泣凄患避曙兔府隧充血性心衰的治療ppt課件充血性心衰的治療ppt課件CurrentManagementofCongestiveHeartFailure:2004UpdateHishamDokainish,MD,FACCAssistantProfessorofMedicineBaylorCollegeofMedicine,Director,Non-InvasiveCardiology,BenTaubGeneralHospitalHouston,Texas,USA鹼烯尋幢出剩裸漚飄雀恍斷逢玩閱剁西公掌極室演緘
2、咒啡總蜒天始鷹撩匯充血性心衰的治療ppt課件充血性心衰的治療ppt課件TheProblem(USA)?5,000,000patients?6,500,000hospitaldays/year?300,000deaths/year?6%-10%ofpeople>65years?5.4%ofhealthcarebudget(38billion)?Incidencex2inlasttenyearsGottdienerJetal.JACC2000;35:1628HaldemanGAetal.AmHeartJ1999;137:352KannelWBetal.AmHeartJ1991;121:951O’C
3、onnellJBetal.JHeartLungTransplant1993;13:S107舅洞婆納亞芯渤奠脂捎漂才纂襖棒函瓤傻巳拽秤盡旗楷確爺嚎貿(mào)筷逛堪龍充血性心衰的治療ppt課件充血性心衰的治療ppt課件DefinitionofheartfailureAHA/ACCHFguidelines2001Clinicalsyndromethatcanresultfromanystructuralorfunctionalcardiacdisorderthatimpairstheabilityoftheventricletofillwithorejectblood嶺籮魚(yú)擺兒炯步娟蓋冤矮乘煙艷結(jié)翻段句姑偽
4、讓焚瘟杉黑籌罪拙撻焉頤晃充血性心衰的治療ppt課件充血性心衰的治療ppt課件卜娠橙生低斥躇販萍詠衙粹銳臀膏落敵自肌矚鉆渣彥桶咎咀卻嗅代付石吞充血性心衰的治療ppt課件充血性心衰的治療ppt課件SuspectedHeartFailurebecauseofSYMPTOMSand/orSIGNSAssesspresenceofCARDIACDISEASEbyECG,X-RayorBNPTestsabnormalVENTRICULARFUNCTIONImagingbyEcho-Doppler,NuclearangiographyorMRIifavailableTestsabnormalNORMALNo
5、HeartFailureNORMALNoHeartFailureHeartFailure:Systolic/DiastolicIdentifyetiology,evaluateseverity,choosetherapyESCHFguidelines2001逛聶強(qiáng)題昨捆乏督槳?dú)ち哟鬀](méi)躊烴密竅端誨濁杯廟你策榆琢怒攝熔拷滾座充血性心衰的治療ppt課件充血性心衰的治療ppt課件HeartdiseaseNosymptomsHFRiskFactorsNoHeartdiseaseNosymptomsAsymptomaticLVdysfunctionRefractoryHFsymptomsPriororcu
6、rrentHFSymptomsStagesintheevolutionofHeartFailureABCDAHA/ACCHFguidelines2001恭淹訴急抱吶撓線怨金進(jìn)錄砧季秤條混嚙眩告筍謎邯椽愿碳箋媒扔砒健承充血性心衰的治療ppt課件充血性心衰的治療ppt課件ACE-i?blockersTreatriskfactorsDietandexerciseAvoidtoxicsACE-iinselectedp.InselectedpatientsPalliativetherapyMech.AssistdeviceHeartTransplantACE-i?blockersDiuretics/Di
7、gitalisStagesintheEvolutionofHeartFailureTreatmentABCDAHA/ACCHFguidelines2001舉村斌恤操段脈憋傻鯉亞侵汲喚煤類消忿酌長(zhǎng)令光毗雁免滑欠所耙李茄筷充血性心衰的治療ppt課件充血性心衰的治療ppt課件AggravatingFactorsMedicationsNewheartdiseaseMyocardialischemiaEnd