Ceia F, Fonseca C, Luís A S
Serviço de Medicina, H.S. Francisco Xavier, Lisboa, Portugal.
Rev Port Cardiol. 1994 Jan;13(1):65-75, 9.
Congestive heart failure represents a clinical syndrome whose symptoms and signs result from different etiopathogenic and pathophysiological mechanisms. Diagnosing congestive heart failure remains mainly a matter for accurate clinical methodology. Therapeutical approaches to congestive heart failure require a profound knowledge of the behaviour of each system and mechanism involved in the process, namely neurohumoral activation, dysautonomia and endothelial responses, besides renal, skeletal muscle, cardiac and pulmonary participation. So, the treatment of congestive heart failure is always multifactorial. Preventing heart failure requires also an accurate knowledge of those mechanisms, in order to apply the most appropriate measures to stop vascular and cardiac remodeling.
充血性心力衰竭是一种临床综合征，其症状和体征源于不同的病因发病机制和病理生理机制。充血性心力衰竭的诊断主要仍依赖于精确的临床方法。充血性心力衰竭的治疗方法需要深入了解该过程中涉及的每个系统和机制的行为，即神经体液激活、自主神经功能障碍和内皮反应，以及肾脏、骨骼肌、心脏和肺部的参与情况。因此，充血性心力衰竭的治疗总是多因素的。预防心力衰竭同样需要准确了解这些机制，以便采取最合适的措施来阻止血管和心脏重塑。
