Congestive Heart Failure - 29/07/15
Résumé |
Patients with acute decompensated heart failure are usually critically ill and require immediate treatment. However, most are not volume overloaded. Emergency department (ED) management is based on rapid initiation of noninvasive positive-pressure ventilation and aggressive titration of nitrates. Afterload reduction with an angiotensin-converting enzyme inhibitor can be considered. A diuretic should not be administered before optimal preload and afterload reduction has been achieved. Short-term inotropic therapy can be considered in select patients with cardiogenic shock and acute decompensated heart failure (ADHF) who fail to respond to standard therapy.
Le texte complet de cet article est disponible en PDF.Keywords : Congestive heart failure, Acute decompensated heart failure, Noninvasive positive pressure ventilation, Nitrates, Angiotensin converting enzyme inhibitors, Diuretics, Inotropes
Plan
Disclosure: The authors have no relevant financial relationships to disclose. |
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The article was copyedited by L.J. Kesselring, MS, ELS, the technical writer/editor in the Department of Emergency Medicine at the University of Maryland School of Medicine. |
Vol 33 - N° 3
P. 553-562 - août 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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