Systolic Heart Failure

被引：263

作者：

McMurray, John J. V. ^{[1
,2
]}

机构：

[1] Univ Glasgow, British Heart Fdn, Cardiovasc Res Ctr, Glasgow G12 8TA, Lanark, Scotland

[2] Univ Glasgow, Western Infirm, Glasgow G11 6NT, Lanark, Scotland

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2010年 / 362卷 / 03期

关键词：

CARDIAC-RESYNCHRONIZATION THERAPY; LEFT-VENTRICULAR DYSFUNCTION; CONVERTING-ENZYME-INHIBITOR; RANDOMIZED-TRIAL; EUROPEAN-SOCIETY; ELDERLY-PATIENTS; TASK-FORCE; MORTALITY; MORBIDITY; ASSOCIATION;

D O I：

10.1056/NEJMcp0909392

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 74-year-old man with a history of hypertension and myocardial infarction that occurred 5 years previously presents with breathlessness on exertion. His current medications include a statin and aspirin. On examination, his pulse is 76 beats per minute and regular, and his blood pressure is 121/74 mm Hg. There is jugular venous distention, lateral displacement of the apex beat, and edema in his lower limbs. The lung examination is normal. An echocardiogram shows left ventricular dilatation, globally reduced contractility, and an ejection fraction of 33%. How should his case be managed?

引用

页码：228 / 238

页数：11

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