Čerlinskaitė Kamilė, Javanainen Tuija, Cinotti Raphaël, Mebazaa Alexandre
Department of Anesthesiology and Reanimation, Hôpital Lariboisière, Paris, France.
Department of Anesthesiology and Critical Care, Hôpitaux Universitaires Saint Louis-Lariboisiere, Assistance Publique des Hopitaux de Paris, Paris, France.
Korean Circ J. 2018 Jun;48(6):463-480. doi: 10.4070/kcj.2018.0125.
Acute heart failure (AHF) is a life-threatening medical condition, where urgent diagnostic and treatment methods are of key importance. However, there are few evidence-based treatment methods. Interestingly, despite relatively similar ways of management of AHF throughout the globe, mid-term outcome in East Asia, including South Korea is more favorable than in Europe. Yet, most of the treatment methods are symptomatic. The cornerstone of AHF management is identifying precipitating factors and specific phenotype. Multidisciplinary approach is important in AHF, which can be caused or aggravated by both cardiac and non-cardiac causes. The main pathophysiological mechanism in AHF is congestion, both systemic and inside the organs (lung, kidney, or liver). Cardiac output is often preserved in AHF except in a few cases of advanced heart failure. This paper provides guidance on AHF management in a time-based approach. Treatment strategies, criteria for triage, admission to hospital and discharge are described.
急性心力衰竭（AHF）是一种危及生命的病症，紧急诊断和治疗方法至关重要。然而，基于证据的治疗方法很少。有趣的是，尽管全球范围内AHF的管理方式相对相似，但包括韩国在内的东亚地区的中期预后比欧洲更有利。然而，大多数治疗方法都是对症治疗。AHF管理的基石是识别诱发因素和特定表型。多学科方法在AHF中很重要，AHF可能由心脏和非心脏原因引起或加重。AHF的主要病理生理机制是全身和器官内部（肺、肾或肝）的充血。除了少数晚期心力衰竭病例外，AHF患者的心输出量通常保持正常。本文以基于时间的方法为AHF管理提供指导。描述了治疗策略、分诊标准、入院和出院标准。
