Perrenoud J J
Praxis (Bern 1994). 1996 Feb 6;85(6):164-7.
Heart failure is at the same time a muscular and a neurohormonal disease. This explains the current therapeutic choices: in particular digitalis, ACE inhibitors, spironolactone and in certain patients even beta-blocking agents. Two different types of heart failure are distinguished today: systolic failure with pump failure and diastolic failure with deranged ventricular filling. In the elderly, the two entities occur either together or individually. A precise and early diagnosis is important for an appropriate treatment to be instituted as early as possible, even in the case of asymptomatic or subclinical heart failure.
心力衰竭同时是一种肌肉性和神经激素性疾病。这就解释了当前的治疗选择：特别是洋地黄、血管紧张素转换酶（ACE）抑制剂、螺内酯，甚至在某些患者中还包括β受体阻滞剂。如今区分出两种不同类型的心力衰竭：伴有泵功能衰竭的收缩性心力衰竭和伴有心室充盈紊乱的舒张性心力衰竭。在老年人中，这两种情况可能同时出现，也可能单独出现。即使是在无症状或亚临床心力衰竭的情况下，尽早进行准确的早期诊断对于尽早开展适当治疗也很重要。
