心衰 洋地黄 房颤 风湿心（Heart failure, digitalis, atrial fibrillation, rheumatic heart）.docVIP

心衰 洋地黄 房颤 风湿心（Heart failure, digitalis, atrial fibrillation, rheumatic heart） 1 treatment principle of chronic heart failure: 1. Active treatment of primary diseases, removal of incentives, 2, reduce cardiac preload, increase myocardial contractility, relieve clinical symptoms. 3, the elimination of nerve, endocrine activation, and prevent ventricular remodeling, 4 improve quality of life, delaying the survival. 000 chronic heart failure treatment measures: 1, the cause of treatment, active treatment of the original disease, improve myocardial co blood, and when necessary, through drug intervention, surgery and other methods of treatment, take effective measures to eliminate incentives. 2 reduce cardiac load, rest, limit sodium intake, use diuretics, and use vasodilators. 3 increase myocardial contractility, digitalis, and non digitalis positive inotropic agents. 4 angiotensin converting enzyme inhibitors, Kato Pury. 5 use B receptor blocker metoprolol 6, aldosterone receptor antagonist: spiro fat. 7 treatment: I control induced by various factors and worsen heart failure of oral ACEI II ACEI combined with oral diuretics B receptor blocking agents, according to the need of with or without oral diuretics digoxin III ACEI combined with B receptor blocking agent digoxin digoxin IV oral ACEI combined with diuretics, can use of aldosterone antagonists, symptoms improved available, B receptor blocker. The clinical manifestations of 2 digitalis poisoning: 1, gastrointestinal reactions such as nausea, vomiting, anorexia, 2 heart reactions: including myocardial contractility inhibition or toxicity of arrhythmia, can appear premature ventricular beat with the two law, ventricular tachycardia, atrial fibrillation with complete atrioventricular block and atrial tachycardia tachycardia with atrioventricular block 3 common neurological symptoms: headache, dizziness, insomnia, depression, xanthopsia or green, etc.. 3 chronic heart failure treatment: 1. Etiological treatment: