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HEART FAILURE

.

HF

HF

HF

Heart failure

1. 2. 3.

2

Chronic heart failure( )

OPD

CHF

Acute heart failure( )

ICU/CCU

6

50%

Acute heart failure( )

Chronic heart failure( )

4

10

20

30

0

5

10

15

20

25

30

35

. 30 180 1

AHF

AHF

HF

24

76

1

5050

5

5

HF

HF

(plaque rupture)

(plaque)

DM

HT

DLP

4 (infective endocarditis)

(congenital heart disease)

(dilated cardiomyopathy) (hypertrophic

cardiomyopathy)

(severe anemia) (hyperthyroidism) (bradycardia

and tachycardia)

(hemochromatosis) amyloid (amyloidosis)

HF

DM

HT

DLP

Hyperthyroid Anemia

//

HF

HF

HF

echocardiography

( )

(false positive)

(false positive)

echocardiography

(Left ventricular ejection fraction,LVEF)

?

LVEF

LVEF

(NYHA functional class)

NYHA Fc. I

NYHA Fc.II

NYHA Fc.III

NYHA Fc.IV

(LVEF < 40%)

(LVEF > 40%)

(LVEF < 40%)

3

ACEI Beta-blocker MRA

ARNI Ivabradine CRT

Digoxin H-ISDN /

1

2

3

(LVEF > 40%)

ACEI

Beta-blocker

MRA

ACEI

Captopril, Enalapril

potassium (hyper-K)

K+

Beta-blocker

Bisoprolol, Carvedilol, Metoprolol

(bradycardia)

acute heart failure

HF

MRA

Spironolactone

potassium (hyper-K)

Furosemide HCTZ

potassium (hypo-K)

Digoxin 3 hypo-K (digitalis intoxication)

NSAIDs Ibuprofen, Naproxen, Celecoxib

TZD Pioglitazone

Verapamil Diltiazem

(comorbidity)

HF

HF

,

,

Update

Life is too short.

I want to be a doctor.

HF

(CPR)

(defib)

https://www.southdenver.com/tour-our-center/cardiac-rehabilitation-clinic/

(ventricular assist device)

(heart transplantation)

HF

,

,

Update

?

(crepitation)

1-1.5 1-2

NSAIDs

(Paroxysmal nocturnal dyspnea, PND)

(Orthopnea) ( )

(Orthopnea) ( )

NSAIDs

Congest Heart Fail.2004 Jul-Aug;10(4):177-80.

Amlodipine

(cardiac cachexia)

Chest.1999 Mar;115(3):836-47.

Adapted from Gheorghiade et al. 20052

? 1

1,000 - 1,200

2,300 (AHA) 1,500 mg

2,300 mg 2-8 mmHg

HF

HF

HF

HF

HF

HOME MESSAGE

Thank you

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