Tahy A
Allami Szívkórház, Balatonfüred.
Orv Hetil. 1998 Oct 25;139(43):2555-65.
Throughout the last years the concept and methods of treatment of chronic heart failure have considerably changed. The objective of the treatment is not only the relief of the symptoms, but also prevention of the onset and progression of the disease. The emphasis of treatment aims to moderate the increased neuroendocrine activity and thus to prevent myocardial damage. This review summarizes our knowledge concerning the treatment of chronic heart failure due to left ventricular dysfunction. It is based on former American guidelines and especially on the guideline of the Task Force of the European Society of Cardiology. The treatment of systolic and diastolic dysfunction of left ventricle are separately discussed. Emphasis is laid on the non pharmacologic treatment of heart failure. The treatment with ACE-inhibitors, diuretics, betablockers, digitalis, calcium antagonists and other drugs as well as the invasive procedures are also discussed.
在过去几年中，慢性心力衰竭的治疗理念和方法发生了很大变化。治疗的目标不仅是缓解症状，还包括预防疾病的发生和进展。治疗的重点旨在减轻增强的神经内分泌活性，从而预防心肌损伤。本综述总结了我们关于左心室功能障碍所致慢性心力衰竭治疗的知识。它基于以前的美国指南，特别是欧洲心脏病学会工作组的指南。分别讨论了左心室收缩和舒张功能障碍的治疗。重点是心力衰竭的非药物治疗。还讨论了使用血管紧张素转换酶抑制剂、利尿剂、β受体阻滞剂、洋地黄、钙拮抗剂和其他药物的治疗以及侵入性治疗方法。
