期刊文献+

58例舒张性心力衰竭临床分析

下载PDF
导出
摘要 目的探讨舒张性心力衰竭患者的临床诊治。方法本组所有患者均进行积极的病因治疗、休息、限制钠盐摄入、利尿扩血管等减轻心脏负荷措施。本组冠心病患者给予硝酸酯类、β受体阻滞剂、钙通道阻滞剂、小剂量螺内酯;高血压患者给予β受体阻滞剂、钙通道阻滞剂、ACEI/ARB、小剂量螺内酯联合应用;肥厚型心肌病、原发性限制型心肌病给予β受体阻滞剂、钙通道阻滞剂、小剂量螺内酯;扩张型心肌病给予β一受体阻滞剂、小剂量螺内酯;瓣膜性心脏病择期行换瓣手术。结果经治疗,所有患者均治愈出院。结论 DHF临床特点是心肌显著肥厚,心脏大小正常,左室射血分数(LVEF)正常及左室舒张期充盈减少舒张性心力衰竭患者一般心力衰竭程度较轻,治疗主要是改善DHF症状;治疗基础疾病;基于病理机制的治疗。
作者 张继该
出处 《中国实用医药》 2011年第28期108-109,共2页 China Practical Medicine
  • 引文网络
  • 相关文献

参考文献1

二级参考文献11

  • 1张新超 徐成斌 祝善俊 徐成斌主编.舒张性心力衰竭[A].祝善俊,徐成斌主编.心力衰竭基础与临床[C].北京:人民军医出版社,2001.264—269.
  • 2Zile MR, Brutsaert DL. New concepts in diastolic dysfunction and diastolic heart failure: Part I: diagnosis, prognosis, and measurements of diastolic function. Circulation, 2002,105:1387-1393.
  • 3European Study Group on Diastolic Heart Failure. How to diagnose diastolic heart failure. Eur Heart J, 1998, 19:990-1003.
  • 4Vasan RS, Levy D. Defining diastolic heart failure: a call for standardized diagnostic criteria. Circulation, 2000,101:2118-2121.
  • 5Zile MR, Gassch WH, Carroll JD,et al. Heart failure with a normal ejection fraction: is measurement of diastolic function necessary to make the diagnosis of diastolic heart failure? Circulation, 2001, 104:779-782.
  • 6Zile MR, Brutsaert DL. New concepts in diastolic dysfunction and diastolic heart failure: Part II: causal mechanisms and treatment. Circulation, 2002, 105:1503-1508.
  • 7Mandinov L, Eberli FR, Seiler C, et al. Diastolic heart failure. Cardiovasc Res,. 2000, 45:813-825.
  • 8Yamamoto K, Masuyama T, Sakata Y,et al. Prevention of diastolic heart failure by endothelin type A receptor antagonist through inhibition of ventricular structural remodeling in hypertensive heart. J Hypertens, 2002, 20:753-761.
  • 9Vasan RS, Larson MG, Benjamin EJ, et al. Congestive heart failure in subjects with normal versus reduced left ventricular ejection fraction: prevalence and mortality in a population-based cohort. J Am Coll Cardiol, 1999, 33:1948-1955.
  • 10Kitzman DW, Gardin JM ,Gottdiener JS, et al. Importance of heart failure with preserved systolic function in patients > or = 65 years of age. CHS Research Group. Cardiovascular Health Study. Am J Cardiol, 2001,87:413-419.

共引文献86

;
使用帮助 返回顶部