Download Acute Heart Failure by Alexandre Mebazaa, Mihai Gheorghiade, Faiez Zannad, Joseph PDF

By Alexandre Mebazaa, Mihai Gheorghiade, Faiez Zannad, Joseph E. Parrillo

For decades, there was loads of paintings performed on persistent congestive center failure whereas acute center failure has been thought of a tough to deal with and hopeless syndrome. in spite of the fact that, lately acute center failure has turn into a turning out to be zone of analysis. there was substantial quantities of recent facts mentioned and lots of new suggestions were proposed within the final 3-4 years the epidemiology, diagnostic and therapy of acute middle failure.

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1). 10 observed comparable results: the mortality after 30 days was 46% for patients with shock and 9% for patients without shock. In the absence of shock, the association of high blood pressure and pulmonary edema represented the most favorable prognosis, with a 4-week mortality rate of 7% in the EFICA study. 5% in patients with high blood pressure history. Preadmission Mortality We know that in-hospital mortality is only the tip of the iceberg. Indeed, some patients die before admission to wards, be it at home, during transportation, or in the emergency department.

9%) and in patients with reduced LVEF (49%). 5%). 6%) of the population used four or more different drugs. 2% were under the combination of diuretic, ACE inhibitors, and beta-blockers. Moreover, daily dosages of ACE inhibitors reached 50% to 60% of the target recommended dose except for captopril, which was prescribed at much lower doses, whereas the daily dosage of beta-blockers were far below the target dose used in randomized trials. Finally, important variations between countries, and according to the type of hospital wards, were found in the rate of prescription of ACE inhibitors and particularly beta-blockers.

Intensivists increasingly offer life support to patients in whom severe heart failure appears reversible, either wholly or partially. Economic imperatives are relevant, particularly considering the daily cost of a patient in an intensive care unit (ICU), expensive medications that are not efficacious in all people, and the everincreasing expectations of a population combined with more aggressive treatment like major surgery and chemotherapy for the elderly, in whom a comorbidity is often underlying heart failure.

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