TY - JOUR
T1 - Acute Decompensated Heart Failure in Patients with Heart Failure with Reduced Ejection Fraction
AU - Fukata, Mitsuhiro
N1 - Funding Information:
The author would like to thank Rakushumimarika Harada for editing the article. This work was supported by JSPS KAKENHI grant number JP17K11577 .
PY - 2020/4
Y1 - 2020/4
N2 - Acute decompensated heart failure (ADHF) requires immediate treatments because it impairs perfusion to systemic organs and their function. Half of all patients with ADHF are diagnosed with heart failure with reduced left ventricular ejection fraction (HFrEF). The initial goal of management for ADHF is to stabilize hemodynamic status. Pulmonary edema is treated with vasodilators or diuretics. Inhibitors of the renin-angiotensin-aldosterone system and β-blockers should be started and/or increased to meet the maximum dose, ideally the target dose, that the patient can tolerate as a treatment of HFrEF. Patients with severe circulatory failure need inotropic drugs or mechanical circulatory support.
AB - Acute decompensated heart failure (ADHF) requires immediate treatments because it impairs perfusion to systemic organs and their function. Half of all patients with ADHF are diagnosed with heart failure with reduced left ventricular ejection fraction (HFrEF). The initial goal of management for ADHF is to stabilize hemodynamic status. Pulmonary edema is treated with vasodilators or diuretics. Inhibitors of the renin-angiotensin-aldosterone system and β-blockers should be started and/or increased to meet the maximum dose, ideally the target dose, that the patient can tolerate as a treatment of HFrEF. Patients with severe circulatory failure need inotropic drugs or mechanical circulatory support.
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U2 - 10.1016/j.hfc.2019.12.007
DO - 10.1016/j.hfc.2019.12.007
M3 - Review article
C2 - 32143763
AN - SCOPUS:85079144290
SN - 1551-7136
VL - 16
SP - 187
EP - 200
JO - Heart Failure Clinics
JF - Heart Failure Clinics
IS - 2
ER -