Publication details
Léčba chronického srdečního selhání v interní ambulanci
| Title in English | Chronic cardiac failure treatment in an internal outpatient department |
|---|---|
| Authors | |
| Year of publication | 2009 |
| Type | Article in Periodical |
| Magazine / Source | Vnitřní lékařství |
| MU Faculty or unit | |
| Citation | |
| Field | Cardiovascular diseases incl. cardiosurgery |
| Keywords | heart failure; ACE inhibitors;beta-blockers;digoxine;diuretics |
| Description | Chronic cardiac failure treatment in an internal medicine ambulance Summary: Management of chronic heart failure in an internal medicine ambulance at present is based on blockade of the renin-angiotenzin-aldosterone system (RAAS) with angiotenzin converting enzyme inhibitors (ACEI) or angiotenzin II receptor1 (AT1) blockers (ARB) or, alternatively, aldosterone receptor blockers (BAR) and, in addition, blockade of the sympathetic nervous system with beta-blockers (BB). When water retention occurs, diuretics are added to this combination. Should this treatment be ineffective, or in case of atrial fibrillation, digoxine is added. Further therapeutic modalities are more suitable for specialized cardiology and hospital care where drugs are administered intravenously or approaches other than pharmacological are used, including resynchronization therapy and internal defibrillator implantation or, in indicated cases, inclusion of the patient in a transplantation programme. |
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