Baur H R
Schweiz Med Wochenschr. 1984 Jan 21;114(3):66-9.
Although therapy of congestive heart failure has to remain symptomatic in many cases, diagnostic evaluation should always precede initiation of therapy. Goals are (1) improvement of contractility (digitalis; other positive inotropic substances are in evaluation) and (2) decrease of preload and afterload by diuretics and vasodilators. Those therapeutic principles are briefly discussed. Symptomatic therapy certainly improves quality of life, but it remains unclear whether survival is improved as well.
尽管在许多情况下充血性心力衰竭的治疗仍只能缓解症状，但在开始治疗前应始终进行诊断评估。治疗目标包括：（1）增强心肌收缩力（洋地黄；其他正性肌力药物正在评估中）；（2）通过利尿剂和血管扩张剂降低前负荷和后负荷。现将这些治疗原则简要讨论如下。对症治疗确实能改善生活质量，但生存期是否也能延长尚不清楚。
