HF心衰英文汇总课件.ppt

HF心衰英文汇总;Heart failure (HF) ;中国心力衰竭流行病学;心力衰竭预后;狄兰.托马斯; ”Two new epidemics of cardiovascular disease are emerging: heart failure and atrial fibrillation.” Eugene Braunwald NEJMNow 1997;2.HF=systolic HF and/or diastolic HF;;The Donkey Analogy ;㈡ Fundamental causes;;治疗;㈡ Fundamental causes;㈡ Fundamental causes;;心脏功能的生理基础;㈢ Precipitating causes;㈣ Pathogenesis and pathophysiology;1.Compensate heart failure;N Engl J Med 2003;348:2007-18;浓度水平;累计死亡率(%);肾上腺素系统 活化;心力衰竭——神经体液的代偿和失代偿;RAAS和交感神经兴奋性↑ 神经内分泌和细胞因子激活 （NE、AngⅡ、醛固酮、加压素、内皮素、TNF）;已被以神经内分泌抑制剂为主的新的“常规治疗”或“标准治疗”所取代：ACEI/ARB、?受体阻滞剂、利尿剂，有时加用地高辛;2.some cytofactors take part in heart failure;神经激素平衡调节系统;Adapted from Burnett JC. J Hypertens. 1999;17(Suppl 1):S37-S43.;　这时候补充----新活素ＴＭ;3.about diastolic insufficiency;㈤ Categories of HF;1.New York Heart Association Functional Classification;2. evidence of cardiovascular disease;3.e.g. ;㈦ Clinical manifestations;1.Left heart failure;1.Left heart failure;2.Right heart failure;2.Right heart failure;Definition and diagnosis;㈧ Diagnosis and differential diagnosis;㈧ Diagnosis and differential diagnosis;㈧ Diagnosis and differential diagnosis;㈧ Diagnosis and differential diagnosis;㈨Treatment of chronic heart failure;㈨Treatment of chronic heart failure;Non-pharmacological management;;People involved in care;The Players; 调整生活方式; 心理和精神治疗;Pharmacological therapy;㈨Treatment of chronic heart failure;Diuretics;利尿剂临床应用;利尿剂抵抗;㈨Treatment of chronic heart failure;;ACE inhibitors;血管紧张素转换酶抑制剂(ACEI);ACEI应用方法;  Contraindication:  ①anuric renal failure ②pregnancy and brest feeding woman ③allerge;ACEI不良反应;㈨Treatment of chronic heart failure;地高辛应用要点;地高辛不良反应;㈨Treatment of chronic heart failure;②β –adrenegic receptors activators   a.Dopamine :2-5μg/kg﹒min myocardial contractility↑ vascular dilatation HR-  ;;4) Beta blocker: --------im