Webb A R
UCL Hospitals, Trust Headquarters, London.
Minerva Anestesiol. 2002 Apr;68(4):196-200.
Acute heart failure may be defined as the failure of the circulation to supply the demands of metabolising tissues due to acute cardiac dysfunction. First aid measures aimed at reducing symptomatology should be chosen with respect to their ability to improve cardiac function. The use of diuretics in acute heart failure does not sit well with the principle of improving cardiac function whereas the use of vasodilators does. As with any circulatory disturbance treatment must be guided by appropriate monitoring and the demands of metabolizing tissues must be reduced. Inotropes should be reserved for severe cases where other treatments have failed. This is to avoid the increased myocardial oxygen demand as a result of inotrope use.
急性心力衰竭可定义为由于急性心脏功能障碍，循环系统无法满足代谢组织需求。应根据改善心脏功能的能力选择旨在减轻症状的急救措施。在急性心力衰竭中使用利尿剂与改善心脏功能的原则不符，而使用血管扩张剂则符合该原则。与任何循环系统紊乱一样，治疗必须以适当的监测为指导，且必须降低代谢组织的需求。强心剂应保留用于其他治疗无效的严重病例。这是为了避免因使用强心剂而增加心肌需氧量。
