nach oben

Intensive Care Medicine

Erschienen in:

04.12.2017 | What's New in Intensive Care

Adjuvant therapy in acute heart failure

verfasst von: Tahar Chouihed, Alexa Hollinger, Alexandre Mebazaa

Erschienen in: Intensive Care Medicine | Ausgabe 6/2018

Einloggen, um Zugang zu erhalten

Excerpt

Contemporary management of acute heart failure (AHF) includes 1) early diagnosis based on signs and symptoms of AHF with measurement of circulating natriuretic peptides, 2) prompt administration of IV diuretics (40 mg of furosemide), 3) IV vasodilators, if the systolic blood pressure (> 90 mmHg) permits, and 4) correction of hypoxia (SpO₂ < 94%) with oxygen or immediate noninvasive ventilation (NIV), if needed [1]. Superimposed challenges such as respiratory distress, diuretic resistance, association of AHF with acute coronary syndrome (ACS) and/or atrial fibrillation (AF), or cardiogenic shock (CS) require adjuvant therapies [1]. …

Nur mit Berechtigung zugänglich

Mebazaa A, Tolppanen H, Mueller C, Lassus J, DiSomma S, Baksyte G et al (2016) Acute heart failure and cardiogenic shock: a multidisciplinary practical guidance. Intensive Care Med 42(2):147–163CrossRefPubMed

Mebazaa A, Yilmaz MB, Levy P, Ponikowski P, Peacock WF, Laribi S et al (2015) Recommendations on pre-hospital and early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency. Eur J Heart Fail 17(6):544–558CrossRefPubMed

Matsue Y, Damman K, Voors AA, Kagiyama N, Yamaguchi T, Kuroda S et al (2017) Time-to-furosemide treatment and mortality in patients hospitalized with acute heart failure. J Am Coll Cardiol 69(25):3042–3051CrossRefPubMed

Felker GM, Lee KL, Bull DA, Redfield MM, Stevenson LW, Goldsmith SR et al (2011) Diuretic strategies in patients with acute decompensated heart failure. N Engl J Med 364(9):797–805CrossRefPubMedPubMedCentral

ter Maaten JM, Valente MAE, Damman K, Hillege HL, Navis G, Voors AA (2015) Diuretic response in acute heart failure—pathophysiology, evaluation, and therapy. Nat Rev Cardiol 12(3):184–192CrossRefPubMed

Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS et al (2016) ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 37(27):2129–2200CrossRefPubMed

Masip J, Roque M, Sánchez B, Fernández R, Subirana M, Expósito JA (2005) Noninvasive ventilation in acute cardiogenic pulmonary edema: systematic review and meta-analysis. JAMA 294(24):3124–3130CrossRefPubMed

Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli M, Ferrer R et al (2017) Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med 43(3):304–377CrossRefPubMed

Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H et al (2017) ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. https://doi.org/10.1093/eurheartj/ehx393 PubMedCrossRef

10.

Pirracchio R, Parenica J, Resche Rigon M, Chevret S, Spinar J, Jarkovsky J et al (2013) The effectiveness of inodilators in reducing short term mortality among patient with severe cardiogenic shock: a propensity-based analysis. PLoS One 8(8):e71659CrossRefPubMedPubMedCentral

11.

Cecconi M, De Backer D, Antonelli M, Beale R, Bakker J, Hofer C et al (2014) Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med 40(12):1795–1815CrossRefPubMedPubMedCentral

12.

Koster G, Bekema HJ, Wetterslev J, Gluud C, Keus F, van der Horst ICC (2016) Milrinone for cardiac dysfunction in critically ill adult patients: a systematic review of randomised clinical trials with meta-analysis and trial sequential analysis. Intensive Care Med 42(9):1322–1335CrossRefPubMedPubMedCentral

13.

Tarvasmäki T, Lassus J, Varpula M, Sionis A, Sund R, Køber L et al (2016) Current real-life use of vasopressors and inotropes in cardiogenic shock—adrenaline use is associated with excess organ injury and mortality. Crit Care 20(1):208CrossRefPubMedPubMedCentral

14.

Harjola V-P, Mebazaa A, Čelutkienė J, Bettex D, Bueno H, Chioncel O et al (2016) Contemporary management of acute right ventricular failure: a statement from the Heart Failure Association and the Working Group on Pulmonary Circulation and Right Ventricular Function of the European Society of Cardiology. Eur J Heart Fail 18(3):226–241CrossRefPubMed

15.

Levy B, Bastien O, Karim B, Cariou A, Chouihed T, Combes A et al (2015) Experts’ recommendations for the management of adult patients with cardiogenic shock. Ann Intensive Care 5(1):52. https://doi.org/10.1186/s13613-015-0063-y CrossRefPubMed

16.

Peacock WF, Emerman C, Costanzo MR, Diercks DB, Lopatin M, Fonarow GC (2009) Early vasoactive drugs improve heart failure outcomes. Congest Heart Fail 15(6):256–264CrossRefPubMed

Titel: Adjuvant therapy in acute heart failure
verfasst von: Tahar Chouihed
Alexa Hollinger
Alexandre Mebazaa
Publikationsdatum: 04.12.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Intensive Care Medicine / Ausgabe 6/2018
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-017-5010-y

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren

Springer Medizin

Adjuvant therapy in acute heart failure

Excerpt

Neu im Fachgebiet AINS

Sechs Maßnahmen gegen Regelschmerzen – von Krafttraining bis Yoga

Hereditäres Angioödem: Tablette könnte Akuttherapie erleichtern

Intoxikation ohne Alkoholaufnahme: An das Eigenbrauer-Syndrom denken!

Mit dem Seitenschneider gegen das Reißverschluss-Malheur

Update AINS

Springer Medizin

Excerpt

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2018

Paediatric sequential organ failure assessment score (pSOFA): a plea for the world-wide collaboration for consensus

Epinephrine and short-term survival in cardiogenic shock: an individual data meta-analysis of 2583 patients

Understanding cardiovascular physiology of ageing

Myocardial calcifications following sepsis

What’s new in cardiorenal syndrome?

The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research

Neu im Fachgebiet AINS

Sechs Maßnahmen gegen Regelschmerzen – von Krafttraining bis Yoga

Hereditäres Angioödem: Tablette könnte Akuttherapie erleichtern

Intoxikation ohne Alkoholaufnahme: An das Eigenbrauer-Syndrom denken!

Mit dem Seitenschneider gegen das Reißverschluss-Malheur

Update AINS