Abstract:
:Acute decompensated heart failure (ADHF) is a common syndrome with diverse etiologies and precipitating factors, which is associated with significant morbidity and mortality. Tremendous resources are used in treating this syndrome, with few prospectively designed clinical trials to guide therapy. Patients suffering from ADHF are at increased risk for readmission to the hospital as well as an increased risk of death. Prompt identification and management of these patients can lead to shorter length of hospital stay, lower likelihood of readmission, and, perhaps, lower mortality. Initial treatment should target the relief of congestive symptoms. Intravenous loop diuretics are the mainstay of therapy, whereas ultrafiltration has emerged as a viable option in patients refractory to conventional treatment with diuretics. The safety and efficacy of nesiritide have been clarified in a recent large randomized trial, reassuring a favorable safety profile, but with modest improvement in short-term clinical outcomes. Thus, the preferred intravenous vasoactive medication has yet to be determined in large clinical trials, and positive inotropic agents should be reserved for patients with hemodynamic collapse. This article reviews the in-hospital assessment and management of ADHF.
journal_name
Cardiol Revjournal_title
Cardiology in reviewauthors
Sanchez CE,Richards DRdoi
10.1097/CRD.0b013e318214022bsubject
Has Abstractpub_date
2011-05-01 00:00:00pages
122-9issue
3eissn
1061-5377issn
1538-4683pii
00045415-201105000-00004journal_volume
19pub_type
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journal_title:Cardiology in review
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journal_title:Cardiology in review
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journal_title:Cardiology in review
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pub_type: 杂志文章,评审
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journal_title:Cardiology in review
pub_type: 杂志文章,评审
doi:10.1097/CRD.0b013e31815cb185
更新日期:2008-01-01 00:00:00
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更新日期:2012-07-01 00:00:00
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journal_title:Cardiology in review
pub_type: 杂志文章,评审
doi:10.1097/00045415-200201000-00010
更新日期:2002-01-01 00:00:00
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journal_title:Cardiology in review
pub_type: 杂志文章
doi:10.1097/01.crd.0000128730.31658.36
更新日期:2004-09-01 00:00:00
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journal_title:Cardiology in review
pub_type: 杂志文章,评审
doi:10.1097/CRD.0b013e31822f0b3e
更新日期:2012-01-01 00:00:00
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journal_title:Cardiology in review
pub_type: 杂志文章,评审
doi:10.1097/CRD.0000000000000057
更新日期:2015-07-01 00:00:00
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journal_title:Cardiology in review
pub_type: 杂志文章,评审
doi:10.1097/CRD.0b013e31821daa8f
更新日期:2011-07-01 00:00:00
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journal_title:Cardiology in review
pub_type: 杂志文章,评审
doi:10.1097/CRD.0b013e318198c8e9
更新日期:2009-03-01 00:00:00
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journal_title:Cardiology in review
pub_type: 杂志文章,评审
doi:10.1097/CRD.0000000000000022
更新日期:2014-07-01 00:00:00
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journal_title:Cardiology in review
pub_type: 杂志文章
doi:10.1097/CRD.0000000000000277
更新日期:2020-09-01 00:00:00
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journal_title:Cardiology in review
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更新日期:2006-11-01 00:00:00
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doi:10.1097/CRD.0000000000000357
更新日期:2020-09-15 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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journal_title:Cardiology in review
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2002-09-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2010-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2011-03-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2007-09-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2020-05-01 00:00:00
abstract::Chagas disease, caused by the parasite Trypanosoma cruzi, is an important cause of cardiac disease in endemic areas of Latin America. It is now being diagnosed in nonendemic areas because of immigration. Typical cardiac manifestations of Chagas disease include dilated cardiomyopathy, congestive heart failure, arrhythm...
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pub_type: 杂志文章,评审
doi:10.1097/CRD.0b013e31823efde2
更新日期:2012-03-01 00:00:00