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PubMed

Záznam pochází z PubMed

Acute heart failure and cardiogenic shock: a multidisciplinary practical guidance

Mebazaa, A
Autor Mebazaa, A U 942 Inserm, Paris, France. alexandre.mebazaa@aphp.fr University Paris Diderot, Sorbonne Paris Cité, Paris, France. alexandre.mebazaa@aphp.fr Department of Anesthesia and Critical Care, Hôpital Lariboisière, APHP, Paris, France. alexandre.mebazaa@aphp.fr
Tolppanen, H
Autor Tolppanen, H U 942 Inserm, Paris, France Heart and Lung Center, Helsinki University Central Hospital, Helsinki, Finland
Mueller, C
Autor Mueller, C Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, Basel, Switzerland
Lassus, J
Autor Lassus, J Heart and Lung Center, Helsinki University Central Hospital, Helsinki, Finland
DiSomma, S
Autor DiSomma, S Department of Medical Sciences and Translational Medicine, University of Rome Sapienza, Sant'Andrea Hospital, Rome, Italy
Baksyte, G
Autor Baksyte, G Department of Cardiology, Kaunas University of Medicine, Kaunas, Lithuania
Cecconi, M
Autor Cecconi, M Anaesthesia and Intensive Care, St George's Hospital and Medical School, London, SW17 0QT, UK
Choi, D J
Autor Choi, D J Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
Cohen Solal, A
Autor Cohen Solal, A U 942 Inserm, Paris, France University Paris Diderot, Sorbonne Paris Cité, Paris, France Department of Cardiology, Hôpital Lariboisiere, APHP, Paris, France
Christ, M
Autor Christ, M Department of Emergency and Intensive Care Medicine, Paracelsus Medical University, Nuremberg, Germany
Masip, J
Autor Masip, J Department of Intensive Care Medicine, Consorci Sanitari Integral, University of Barcelona, Barcelona, Spain
Arrigo, M
Autor Arrigo, M U 942 Inserm, Paris, France
Nouira, S
Autor Nouira, S Emergency Department and Research Unit UR06SP21, Fattouma Bourguiba University Hospital, Monastir, Tunisia
Ojji, D
Autor Ojji, D Cardiology Unit, Department of Medicine, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria
Peacock, F
Autor Peacock, F Department of Emergency Medicine, Baylor College of Medicine, Boston, MA, USA
Richards, M
Autor Richards, M Christchurch Cardioendocrine Research Group, Christchurch Hospital, Christchurch, New Zealand
Sato, N
Autor Sato, N Internal Medicine, Cardiology, and Intensive Care Unit, Nippon Medical School Musashi-Kosugi Hospital, Kawasaki, Japan
Sliwa, K
Autor Sliwa, K Faculty of Health Sciences, Hatter Institute for Cardiovascular Research in Africa and IIDMM, University of Cape Town, Cape Town, South Africa
Spinar, J
Autor Spinar, J Department of Cardiovascular Disease, International Clinical Research Center, University Hospital Brno, Brno, Czech Republic
Thiele, H
Autor Thiele, H Medical Clinic II (Cardiology/Angiology/Intensive Care Medicine), University Heart Centre Luebeck, University Hospital Schleswig-Holstein, Lübeck, Germany
Yilmaz, M B
Autor Yilmaz, M B Department of Cardiology, Cumhuriyet University School of Medicine, Sivas, Turkey
Januzzi, J
Autor Januzzi, J Division of Cardiology, Massachusetts General Hospital, Boston, MA, USA

Intensive care medicine. 2016 Feb ; 42 (2) : 147-63. [epub] 20150914

Intensive Care Med
ISSN 1432-1238 | 0342-4642
Zdroj

Jazyk angličtina Země Spojené státy americké Médium print-electronic

Typ dokumentu časopisecké články, práce podpořená grantem, přehledy

Perzistentní odkaz https://www.medvik.cz/link/pmid26370690

PubMed 26370690
DOI 10.1007/s00134-015-4041-5
PII: 10.1007/s00134-015-4041-5
Knihovny.cz E-zdroje

Klíčová slova
Cardiogenic shock, Emergency, Heart failure, Treatment,
MeSH
akutní nemoc terapie MeSH
kardiogenní šok diagnóza terapie MeSH
lidé MeSH
péče o pacienty v kritickém stavu normy MeSH
směrnice pro lékařskou praxi jako téma * MeSH
srdeční selhání diagnóza terapie MeSH
Check Tag
lidé MeSH
Publikační typ
časopisecké články MeSH
práce podpořená grantem MeSH
přehledy MeSH

PURPOSE: Acute heart failure (AHF) causes high burden of mortality, morbidity, and repeated hospitalizations worldwide. This guidance paper describes the tailored treatment approaches of different clinical scenarios of AHF and CS, focusing on the needs of professionals working in intensive care settings. RESULTS: Tissue congestion and hypoperfusion are the two leading mechanisms of end-organ injury and dysfunction, which are associated with worse outcome in AHF. Diagnosis of AHF is based on clinical assessment, measurement of natriuretic peptides, and imaging modalities. Simultaneously, emphasis should be given in rapidly identifying the underlying trigger of AHF and assessing severity of AHF, as well as in recognizing end-organ injuries. Early initiation of effective treatment is associated with superior outcomes. Oxygen, diuretics, and vasodilators are the key therapies for the initial treatment of AHF. In case of respiratory distress, non-invasive ventilation with pressure support should be promptly started. In patients with severe forms of AHF with cardiogenic shock (CS), inotropes are recommended to achieve hemodynamic stability and restore tissue perfusion. In refractory CS, when hemodynamic stabilization is not achieved, the use of mechanical support with assist devices should be considered early, before the development of irreversible end-organ injuries. CONCLUSION: A multidisciplinary approach along the entire patient journey from pre-hospital care to hospital discharge is needed to ensure early recognition, risk stratification, and the benefit of available therapies. Medical management should be planned according to the underlying mechanisms of various clinical scenarios of AHF.

Anaesthesia and Intensive Care St George's Hospital and Medical School London SW17 0QT UK

Cardiology Unit Department of Medicine University of Abuja Teaching Hospital Gwagwalada Abuja Nigeria

Christchurch Cardioendocrine Research Group Christchurch Hospital Christchurch New Zealand

Department of Anesthesia and Critical Care Hôpital Lariboisière APHP Paris France

Department of Cardiology and Cardiovascular Research Institute Basel University Hospital Basel Basel Switzerland

Department of Cardiology Cumhuriyet University School of Medicine Sivas Turkey

Department of Cardiology Hôpital Lariboisiere APHP Paris France

Department of Cardiology Kaunas University of Medicine Kaunas Lithuania

Department of Cardiovascular Disease International Clinical Research Center University Hospital Brno Brno Czech Republic

Department of Emergency and Intensive Care Medicine Paracelsus Medical University Nuremberg Germany

Department of Emergency Medicine Baylor College of Medicine Boston MA USA

Department of Intensive Care Medicine Consorci Sanitari Integral University of Barcelona Barcelona Spain