Publication details

Nová doporučení v léčbě srdečního selhání

Title in English New recommendation in the treatment of heart failure
Authors

VÍTOVEC Jiří ŠPINAR Jindřich ŠPINAROVÁ Lenka

Year of publication 2017
Type Article in Periodical
Magazine / Source Acta medicinae
MU Faculty or unit

Faculty of Medicine

Citation
Web https://doi.org/10.1145/3152124
Field Cardiovascular diseases incl. cardiosurgery
Keywords heart failure; pharmacotherapy; ACE inhibitors; sacubitril/valsartan; betablockers; diuretics; digoxin
Description The main goal of heart failure treatment is to reduce mortality and morbidity, improve the quality of life and reduce the number of hospitalised patients. ACE inhibitors are the corner-stone of the treatment. Sartans are indicated in the case of ACE-I intolerance. ACE-I can be in future replaced with sacubitril/valsartan in symptomatic patients. Betablockers should be added to the renin angiotensin blockade in maximal tolerated doses. Diuretics are given to relieve symptoms such as dyspnoea or oedema. Adding digoxin is indicated in selected patients.

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