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Heart Failure: Difference between revisions
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→Therapy of acute heart failure
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Deficiency of thiamine, selenium, or camitine, in states of severe cachexia. | Deficiency of thiamine, selenium, or camitine, in states of severe cachexia. | ||
Infiltrative and storage disorders | ===Infiltrative and storage disorders=== | ||
*[[Sarcoidosis]] | *[[Sarcoidosis]] | ||
*[[Amyloidosis]] | *[[Amyloidosis]] | ||
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==Therapy of acute heart failure== | ==Therapy of acute heart failure== | ||
[[Image:acute_hf_flowchart.svg|400px|thumb|'''Figure 7.''' Flowchart acute HF.]] | |||
When severe symptoms of heart failure quickly develop over time, it is termed acute heart failure. In Table 6, common acute HF medications and their recommended doses are summarized. In Figure 7, a flowchart for the treatment of acute HF is depicted. The mainstay of acute heart failure therapy includes diuretics, vasodilators, inotropics and vasopressors. Moreover, oxygen and morphine can be added. | When severe symptoms of heart failure quickly develop over time, it is termed acute heart failure. In Table 6, common acute HF medications and their recommended doses are summarized. In Figure 7, a flowchart for the treatment of acute HF is depicted. The mainstay of acute heart failure therapy includes diuretics, vasodilators, inotropics and vasopressors. Moreover, oxygen and morphine can be added. | ||
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|'''Diuretics''' | |'''Diuretics''' | ||
|Adequate blood pressure and signs of overfilling | |colspan="2"|Adequate blood pressure and signs of overfilling | ||
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3 mg – max 25 mg | 3 mg – max 25 mg | ||
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|'''Vasodilators''' | |'''Vasodilators''' | ||
|Adequate blood pressure and signs of severe overfilling | |colspan="2"|Adequate blood pressure and signs of severe overfilling | ||
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*Nitroglycerine i.v. | *Nitroglycerine i.v. | ||
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|20 µg/min – max 200 µg/min (guided by blood pressure) | |20 µg/min – max 200 µg/min (guided by blood pressure) | ||
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*Nitroprusside i.v. | *Nitroprusside i.v. | ||
| | ||Hypertensive crisis or in combination with inotropic in case of a cardiogenic shock | ||
|Hypertensive crisis or in combination with inotropic in case of a cardiogenic shock | |||
|0.3 µg/kg/min – max 5 µg/kg/min (guided by blood pressure) | |0.3 µg/kg/min – max 5 µg/kg/min (guided by blood pressure) | ||
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*Lisinopril | *Lisinopril | ||
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|Start 2.5-5mg | |Start 2.5-5mg | ||