Navarro-López F, de Teresa E, López-Sendón J L, Castro-Beiras A
Servicio de Cardiología, Hospital Clínico, Barcelona.
Rev Esp Cardiol. 1999;52 Suppl 2:1-54.
Guidelines for the Diagnosis and Management of Heart Failure and Cardiogenic Shock have been developed by the Working Group on Heart Failure of the Spanish Society of Cardiology, in collaboration with other Scientific Sections and members of the society. The aim of this report is to promote a more consistent and effective clinical practice according to the principles of evidence based medicine or the recommendations widely accepted by the scientific community. At the same time the aim is to give guidance for epidemiological surveys, heart failure registers clinical assays and clinical quality assessment, and to contribute to cost containment. These twelve guidelines have been designed for doctors in general practice as well as specialists. Criteria for diagnosis and classification of heart failure (systolic and diastolic heart failure, left or right, acute or chronic) are defined. The more appropriate use of clinical or high technology laboratory studies are recommended as well as the most efficient strategies nowadays for the management of chronic stable, unstable or refractory heart failure, or acute heart failure and cardiogenic shock.
西班牙心脏病学会心力衰竭工作组与该学会的其他科学部门及成员合作制定了《心力衰竭和心源性休克诊断与管理指南》。本报告旨在依据循证医学原则或科学界广泛认可的建议,推动更一致、有效的临床实践。同时,其目的是为流行病学调查、心力衰竭登记、临床检测及临床质量评估提供指导,并有助于控制成本。这十二项指南是为全科医生和专科医生设计的。明确了心力衰竭(收缩性和舒张性心力衰竭、左心或右心、急性或慢性)的诊断和分类标准。推荐了临床或高科技实验室检查的更合理应用,以及目前用于慢性稳定、不稳定或难治性心力衰竭、急性心力衰竭和心源性休克管理的最有效策略。