Heart Failure in adult patient, with .pdf

Heart failure

1. Heart Failure
Definition, Pathophysiology and Treatment
Dwi Ariyanti, MD
Cardiologist of SoebandiGeneral Hospital
Jember2015

40. General principle of Heart Failure management
1.Identification & correction of the underlying condition causing
heart failure
2.Elimination of the acute precipitating cause of symptoms
3.Management of heart failure symptoms
1.Treatment of pulmonary & systemic vascular resistant
2.Measure to increase forward cardiac output & perfusion for vital
organs
4.Modulation of the neurohormonal response
5.Prolongation of long term survival

41. General principle of Acute Heart Failure management
1.Reduce Preload
1.Diuretics
2.Vasodilator (venodilator & arterial –venodilator)
2.Increase contractility
1.Inotropic drugs (dobutamin, dopamine, digoxin)
3.Decrease afterload (RAAS inhibitors, vasodilator)
4.Neurohormonal modulation
1.B-Blockers (B1 specific blockers)
2.ADH antagonist (spironolactone, milrinone)

42. Thank You