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Diagnostic and therapeutic approach to acute decompensated heart failure

被引：17
作者：
Kapoor, John R.
Perazella, Mark A.
机构：
[1] Yale Univ, Sch Med, Dept Med, Nephrol Sect, New Haven, CT 06511 USA
[2] Stanford Univ, Sch Med, Dept Med, Div Cardiol, Stanford, CA 94305 USA
来源：
AMERICAN JOURNAL OF MEDICINE | 2007年 / 120卷 / 02期
关键词：
heart failure; diuretics; dobutamine; nesiritide; B-type natriuretic peptide;
D O I：
10.1016/j.amjmed.2006.05.066
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Heart failure afflicts large numbers of patients and is the leading cause for hospitalizations in the United States. Diagnosis and management of decompensated heart failure present a clinical challenge, requiring complex decision-making. History and physical examination findings are important in the diagnosis of heart failure. Diagnostically, B-type natriuretic peptide levels appear very useful to separate cardiac from noncardiac causes of dyspnea and provide information about heart failure severity and prognosis. Immediate management goals include improvement of symptoms and hemodynamic parameters. Diuretics, vasodilators, and inotropic agents are useful in the acute setting. This article provides a systematic approach to the diagnosis and management of acute decompensated heart failure. (c) 2007 Elsevier Inc. All rights reserved.
引用
收藏
页码：121 / 127
页数：7
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