ACC_AHA成人心力衰竭诊断与治疗指南（2009年修订版）-课件，幻灯，PPT（英文）.ppt

2009 Focused Update:ACC/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults 2009 Focused Update:ACC/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults2009 WRITING GROUP TO REVIEW NEW EVIDENCE AND UPDATE THE 2005 GUIDELINE FOR THE MANAGEMENT OF PATIENTS WITH CHRONIC HEART FAILURE WRITING ON BEHALF OF THE 2005 HEART FAILURE WRITING COMMITTEE Mariell Jessup, MD, FACC, FAHA, Chair; William T. Abraham, MD, FACC, FAHA; Donald E. Casey, MD, MPH, MBA; Arthur M. Feldman, MD, PhD, FACC, FAHA; Gary S. Francis, MD, FACC, FAHA; Theodore G. Ganiats, MD; Marvin A. Konstam, MD, FACC; Donna M. Mancini, MD; Peter S. Rahko, MD, FACC, FAHA; Marc A. Silver, MD, FACC, FAHA; Lynne Warner Stevenson, MD, FACC, FAHA; Clyde W. Yancy, MD, FACC, FAHA  2005 recommendation remains current in 2009 update. 2. Groups of patients including: a) high-risk ethnic minority groups (e.g., blacks), b) groups underrepresented in clinical trials, and c) any groups believed to be underserved should, in the absence of specific evidence to direct otherwise, have clinical screening and therapy in a manner identical to that applied to the broader population. (Level of Evidence: B) Groups of patients including a. high-risk ethnic minority groups (e.g., blacks), b. groups underrepresented in clinical trials, and c. any groups believed to be underserved should, in the absence of specific evidence to direct otherwise, have clinical screening and therapy In a manner identical to that applied to the broader population. (Level of Evidence: B) Updates to Treatment of Special Populations Comments 2009 Focused Update Recommendations 2005 Guideline Recommendations Class I Treatment of Special Populations 2005 recommendation remains current in 2009 update. 3. It is recommended that e vidence-based therapy for HF be used in the elderly patient, with individualized consid