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
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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 (SpO
2 < 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]. …