Mueller Christian, Christ Michael, Cowie Martin, Cullen Louise, Maisel Alan S, Masip Josep, Miro Oscar, McMurray John, Peacock Frank W, Price Susanna, DiSomma Salvatore, Bueno Hector, Zeymer Uwe, Mebazaa Alexandre
1 Department of Cardiology, University Hospital Basel, Switzerland.
2 Department of Emergency and Critical Care Medicine, Klinikum Nürnberg, Germany.
Eur Heart J Acute Cardiovasc Care. 2017 Feb;6(1):81-86. doi: 10.1177/2048872615593279. Epub 2016 Sep 22.
Acute heart failure (AHF) continues to have unacceptably high rates of mortality and morbidity. This position paper highlights the need for more intense interdisciplinary cooperation as one key element to overcome the challenges associated with fragmentation in the care of AHF patients. Additional aspects discussed include the importance of early diagnosis and treatment, options for initial treatment, referral bias as a potential cause for treatment preferences among experts, considerable uncertainty regarding patient disposition, the diagnosis of accompanying acute myocardial infarction, the need for antibiotic therapy, as well as assessment of intravascular volume status.
急性心力衰竭（AHF）的死亡率和发病率仍然高得令人难以接受。本立场文件强调，需要加强跨学科合作，这是克服AHF患者护理碎片化相关挑战的关键要素之一。讨论的其他方面包括早期诊断和治疗的重要性、初始治疗方案、专家之间治疗偏好的潜在原因——转诊偏倚、患者处置方面的诸多不确定性、伴发急性心肌梗死的诊断、抗生素治疗的必要性以及血管内容量状态的评估。
