급성 심부전의 약물적 치료
- Author(s)
- 김형섭
- Keimyung Author(s)
- Kim, Hyung Seop
- Department
- Dept. of Internal Medicine (내과학)
- Journal Title
- 대한내과학회지
- Issued Date
- 2012
- Volume
- 82
- Issue
- 6
- Abstract
- Acute heart failure (HF) is commonly encountered in the emergency department and thus, the hospital admissions for worsening
HF are increasing. However, the patients presenting with acute HF are heterogenous and complex at high risk of morbidity and
mortality. The main goals of treatment for hospitalized patients with HF are to restore euvolemia and to maintain the hemodynamic
status without causing adverse events. Currently, the recommendations are usually based on a clinical factor considering the initial
systolic blood pressure and other symptoms. Accordingly, initial managements in the hospital generally include diuretics,
vasodilators, morphine, and inotropic agents, all of which have been considered as traditional therapies. These agents should mainly
increase cardiac output and improve symptoms, and importantly it should improve the clinical outcomes. The aim of this review is
to describe the available and new pharmacologic drugs for patients presenting with acute HF. (Korean J Med 2012;82:651-657)
Keywords: Acute heart failure; Diuretics; Vasodilators; Inotropes
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