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【心衰国际学院】佐藤直树教授:急性心力衰竭—基于日本新的心力衰竭指南的药物治疗

 fjgsd 2018-12-26


在“2018深圳心力衰竭国际发展论坛暨心力衰竭治疗研讨会·深圳站”会议上,来自日本医科大学的佐藤直树教授为我们带来了'Acute Heart Failure:Drug therapy based on the new Japanese Heart failure guidelines(急性心力衰竭—基于日本新的心力衰竭指南的药物治疗)'的精彩报告。



Two Typesof Definition of Heart Failure

 

Progression and Stagingof HF andtherapeutic strategies


Pharmacologicaltherapies for reduced LVEF


Pharmacologicaltherapies for preserved LVEF


Early managementflow chart


Congestion


Clinical congestion atadmission


Orthodemascores


Hemodynamic congestion





Importanceof hemodynamic managements toimprove outcome !


PA monitoring improved outcome!


致死的肺水腫の進展



Transportation time


Oxygen inhalationand respiratory managements for AHF patients


Effects of nitrate spray——No problems for the AHF patients(with SBP > 110mmHg)


sodium retention


water retention


Flow Diagram


Summary of Baseline Characteristics of Included Studies




Earlyadministration of TLV improves outcome?


Pharmacologicaltherapies for AHF——Diuretics



Propensityscore matching analysis

presentedby Dr. Sakata at JCS 2013


Early managementflow chart


Management basedon pathophysiological status


Cooperation & homogenization to reduce D2T time



Good communication——Between ER physicians and Cardiologists



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