Médecine thérapeutique
MENUInsuffisance cardiaque chronique en pratique : les points clés pour le praticien Volume 24, issue 4, Juillet-Août 2018
Authors
1 Service de médecine interne, clinique médicale B, hôpitaux universitaires de Strasbourg, France
2 Pôle de pathologie thoracique, service de physiologie et explorations fonctionnelles, NHC, hôpitaux universitaires de Strasbourg, France
* Tirés à part
- Key words: chronic heart failure, elder patients, ACE inhibitor, betablockers, diuretics, aldosterone receptor antagonists, ivabradin, digoxin
- DOI : 10.1684/met.2018.0707
- Page(s) : 254-62
- Published in: 2018
Chronic heart failure (ICC) affects mainly elder people, and affects widely their health and life quality. Diagnosis is based on clinical terms – left and right ICC pictures being different. Treatment involves ACE inhibitor, betablockers, diuretics, aldosterone receptor antagonists and ivabradin/digoxin. Treatment efficiency is well established for systolic ICC; it must be more adequatly documented in diastolic ICC. Educational therapy and long-term following must be put in place. Several new agents are being studied (e.g., LLCZ696 et empagliflozine)
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