A review of the current management of acute and chronic heart failure in the context of ischemic heart disease

P. F. Brown, J. Thambyrajah
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Abstract

Heart failure secondary to left ventricular systolic dysfunction is a prevalent condition across Europe with ischemic heart disease the most common etiology. Acute heart failure is a medical emergency and management comprises diuretics and vasodilators. Several alternative intravenous treatments have been trialed in recent years but no mortality benefit has been found with these agents. For chronic heart failure there are several well-characterized disease-modifying treatments available which include beta blockers, ACE inhibitors, mineralocorticoid antagonists, and device therapy. Sacubitril/valsartan is a novel therapy that has recently been demonstrated to have additional prognostic benefit.

Answer questions and earn CME: https://wileyhealthlearning.com/Activity2/5222693/Activity.aspx

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在缺血性心脏病背景下急性和慢性心力衰竭的当前管理综述
继发于左心室收缩功能障碍的心力衰竭在欧洲是一种普遍的疾病,缺血性心脏病是最常见的病因。急性心力衰竭是一种医学紧急情况,治疗包括利尿剂和血管扩张剂。近年来已经试验了几种替代静脉注射治疗方法,但没有发现这些药物对死亡率有好处。对于慢性心力衰竭,有几种具有良好特征的疾病改善治疗方法,包括-受体阻滞剂、ACE抑制剂、矿皮质激素拮抗剂和器械治疗。Sacubitril/缬沙坦是一种新疗法,最近被证明具有额外的预后益处。回答问题并获得CME: https://wileyhealthlearning.com/Activity2/5222693/Activity.aspx
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