Bosio P, Benacerraf S, Garot J, Garot P, Haziza F, Vermes E, Loisance D, Dubois-Randé J L
Fédération de cardiologie, hôpital Henri-Mondor, Créteil.
Arch Mal Coeur Vaiss. 1998 Nov;91(11):1349-58.
Acute cardiac failure should be approached clinically and paraclinically as an emergency and precipitation is not always what is required. Consequently, strict clinical and paraclinical strategy leads to decisive action to improve the prognosis. The authors describe the principles of management of acute cardiac failure. The different stages which are carried out simultaneously in clinical practice are discussed: physiopathological basis, clinical and paraclinical investigations, symptomatic and aetiological treatment. The description and indications of circulatory assistance are considered. This constitutes a major therapeutic advance of the last decade and has changed the treatment of the most severe clinical forms of acute cardiac failure.
急性心力衰竭应作为急症进行临床和辅助检查处理，并不总是需要查明诱因。因此，严格的临床和辅助检查策略可促使采取决定性行动以改善预后。作者阐述了急性心力衰竭的管理原则。讨论了在临床实践中同时进行的不同阶段：病理生理基础、临床和辅助检查、对症及病因治疗。还考虑了循环辅助的描述及适应证。这是过去十年中的一项重大治疗进展，改变了最严重急性心力衰竭临床类型的治疗方式。
