欧洲心衰院前及院内管理资料.ppt

Acute heart failure is a syndrome in which emergency physicians,cardiologists, intensivists, nurses, and other healthcare providers have to cooperate to provide ‘rapid’ benefit to the patients. Definition and epidemiology of acute heart failure Acute heart failure (AHF) is the term used to describe the rapid onset of or acute worsening of symptoms and signs of HF, associated with elevated plasma levels of natriuretic peptides. It is a lifethreatening condition that requires immediate medical attention and usually leads to urgent hospital admission. 心衰定义及流行病学Definition and epidemiology of acute heart failure 新共识中，ＡＨＦ定义为：心力衰竭（以下简称“心衰”）症状急性发作或加重，并伴有血浆脑利钠肽水平的升高。与以往相比，该定义强调了脑利钠肽的价值。 Definition and epidemiology of acute heart failure Most of the patients with AHF present with normal or high blood pressure and with symptoms and/or signs of congestion rather than low cardiac output. 大型研究中不同初次医疗接触和处理地点的急性心衰的临床特点 Pre-hospital and early management strategies in acute heart failure As for acute coronary syndromes, the ‘time-to-treatment’ concept may be important in patients with AHF. Hence, all AHF patients should receive appropriate therapy as early as possible. Pre-hospital and early management strategies in acute heart failure In the pre-hospital setting, AHF patients should benefit from: Pre-hospital and early management strategies in acute heart failure In the pre-hospital setting, AHF patients should benefit from: Pre-hospital and early management strategies in acute heart failure In the pre-hospital setting, AHF patients should benefit from: Pre-hospital and early management strategies in acute heart failure In the pre-hospital setting, AHF patients should benefit from: Pre-hospital and early management strategies in acute heart failure In the pre-hospital setting, AHF patients should benefit from: Pre-hospital and early management strategies in acute heart failure On arrival in the ED/CCU/ICU, initial clinical examination, investigations and treatm