advanced nursing aspects of acute heart failure

... renal failure and up to 10% require dialysis [17]; renal failure is reversible in half of these patients (most of them having cast nephropathy) [18,19] Several factors may cause renal failure ... methotrexate (> g/m2) is part of the treatment of acute lymphoid leukaemia, high-grade lymphoma and sarcoma These high doses are associated with a high risk of ARF due to precipitation of methotrexate or ... toxicity Prevention of ARF is mandatory in CICPs Fluid expansion and uricolytic treatment in patients with a high risk of acute TLS, prevention of contrast nephropathy, elimination of nephrotoxic...

Ngày tải lên: 12/08/2014, 23:23

... Page of Intra atrial manifestation of the HCC constitutes a life threatening condition The major causes of death are either sudden pulmonary embolism of the thrombus or acute obstruction of the ... bizarre presentation [4] This report describes an unusual presentation of HCC The patient appeared with symptoms of acute heart failure caused by a giant right atrial malignant obstructive hepatocellular ... conclusion, when a patient with a history of chronic hepatic disease presents with symptoms of right heart failure one must be cautious and should bear in mind that right heart involvement from a malignant...

Ngày tải lên: 10/08/2014, 09:22

... M: Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology Eur Heart J 2005, 26:384-416 ... than right heart failure, disorders causing abnormalities of pulmonary arterial pressure, and congenital heart disease Competing interests CRP is a member of the medical advisory board of Pulsion ... dysfunction in acute heart failure and septic patients: an observational study Crit Care 2009, 13:R133 Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D Catheterization of the heart in...

Ngày tải lên: 13/08/2014, 19:20

... M: Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology Eur Heart J 2005, 26:384-416 ... than right heart failure, disorders causing abnormalities of pulmonary arterial pressure, and congenital heart disease Competing interests CRP is a member of the medical advisory board of Pulsion ... dysfunction in acute heart failure and septic patients: an observational study Crit Care 2009, 13:R133 Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D Catheterization of the heart in...

Ngày tải lên: 13/08/2014, 19:20

... diagnosis of acute heart failure: the ProBNP Investigation of Dyspnea in the Emergency Department (PRIDE) Acute Heart Failure Score Am Heart J 2006, 151:48-54 19 Hanley JA, McNeil BJ: A method of comparing ... therapy for acute congestive heart failure: state of the rat Prehosp Emerg Care 2003, 7:13-23 Remes J, Miettinen H, Reunanen A, Pyörälä K: Validity of clinical diagnosis of heart failure in primary ... more reliable method for the identification of acute HF and its differentiation from COPD/asthma-related causes of acute dyspnea Acute dyspnea is one of the most common conditions encountered in...

Ngày tải lên: 14/08/2014, 08:21

... evidence of chronic heart failure and to investigate other potential causes of breathlessness Determining the underlying cause of heart failure Much of the evidence base for the management of heart failure ... coronary heart disease.1 This guideline refers only to chronic heart failure and acute heart failure is dealt with in SIGN guideline 93 on acute coronary syndromes.2  Management of chronic heart failure ... digoxin should be stopped SUMMARY OF THE USE OF MAJOR DRUG CLASSES FOR TREATMENT OF HEART FAILURE The use of the major classes of drugs for the control of chronic heart failure is summarised in Table...

Ngày tải lên: 08/03/2014, 14:20

... differential diagnosis in a young patient displaying clinical symptoms of acute coronary syndrome progressing to acute heart failure led to diagnostic imaging procedures which revealed a complicated ... implantation of intra-aortic balloon pump counterpulsation A pheochromocytoma crisis was suspected because of the previous history of hypertension in a young patient and the finding of normal coronaries ... aneurysm Other cardiovascular complications of pheochromocytoma include sudden death, heart failure due to toxic cardiomyopathy, hypertensive encephalopathy, acute cerebrovascular accident or neurogenic...

Ngày tải lên: 09/08/2014, 01:24

... DJ, O’Connor CM: Reduction in heart failure events by the addition of a clinical pharmacist to the heart failure management team: results of the Pharmacist in Heart Failure Assessment Recommendation ... E: Compliance and effectiveness of one year’s home telemonitoring The report of a pilot study of patients with chronic heart failure European Journal of Heart Failure 2001, 3(6):723-30 36 Pugh ... Gottlieb SH: A randomized trial of the efficacy of multidisciplinary care in heart failure outpatients at high risk of hospital readmission Journal of the American College of Cardiology 2002, 39(3):471-80...

Ngày tải lên: 10/08/2014, 10:23

... of and grading of the severity of MOF [22] For this study we used SOFA scoring [23] The use of the daily SOFA score has been challenged, because daily evaluation can lead to underestimation of ... cumulative failures [25] In contrast to daily maximal SOFA scores, the calculation of the TMS score sums the maximal scores of all organ failures during the whole ICU stay independent of their ... nonresponders Successful resuscitation of tissue perfusion failure was associated with less severe MOF The TMS score reflects well the development of MOF, and the time pattern of the TMS score is associated...

Ngày tải lên: 12/08/2014, 19:22

... Steinberg KP: Epidemiology of acute lung injury and ARDS Chest 1999, Suppl:74S-82S Bersten AD, Edibam C, Hunt T, Moran J: Incidence and mortality of acute lung injury and the acute respiratory distress ... fulfilled SOFA criteria for ARF (3 of a maximum points) and/or had additional renal, haematological, hepatic, circulatory, and neurological organ failures Nearly double the percentage (63%) of ARF ... may be falling However, the broad applicability of these finding is unclear [16] Multiple organ dysfunctions and severity of acute respiratory failure Abnormal organ function may involve the...

Ngày tải lên: 12/08/2014, 19:22

... primary outcomes of interest were the risk of the development of acute organ failure within three years of the baseline examination, in-hospital mortality related to any acute organ failure during ... displays the risk of the development of acute organ failure, in-hospital mortality among those with acute organ failure, and mortality at three years among those with acute organ failure by DM status ... time to acute organ failure and risk of in-hospital death Diabetes mellitus Body mass index Time to acute organ failure, hazard ratio (95% CI) Risk of in-hospital death during acute organ failure, ...

Ngày tải lên: 13/08/2014, 03:20

... al.: Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology Eur Heart J 2005, 26:384-416 ... measurements in patients with sepsis and acute heart failure Sepsis Acute heart failure 1st measurement 4th measurement 1st measurement 4th measurement n=9 n=9 n = 12 n = 12 Heart rate, 1/minute 83 (80–96) ... the presence of an underlying heart disease and congestive heart failure, pulmonary edema, or cardiogenic Page of 10 (page number not for citation purposes) shock [6] Diagnosis of AHF was based...

Ngày tải lên: 13/08/2014, 18:22

... summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology Eur Heart J 2005, Page 12 of 14 10 ... diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology Developed ... Tavazzi L; EuroHeart Survey Investigators; Heart Failure Association, European Society of Cardiology: EuroHeart Failure Survey II (EHFS II): a survey on hospitalized acute heart failure patients:...

Ngày tải lên: 13/08/2014, 19:20

... diagnosis and treatment of acute and chronic heart failure: the Task Force for the diagnosis of Acute and Chronic Heart Failure of the European Society of Cardiology Eur Heart J 2008, 29:2388-2442 ... high risk of re-admission after decompensated heart failure J Am Coll Cardiol 2004, 43:635-641 Maisel AS: Use of BNP levels in monitoring hospitalized heart failure patients with Heart Failure ... and short-term prognosis in acute destabilized heart failure: an international pooled analysis of 1256 patients: the International Collaborative of NT-proBNP Study Eur Heart J 2006, 27:330-337 Januzzi...

Ngày tải lên: 13/08/2014, 20:22

... Freemantle N, Cleland JGF: The impact of heart failure on health-related quality of life data acquired in the baseline phase of the CARE-HF study European Journal of Heart Failure 2005, 7:243-251 17 Pickard ... measure of health-related quality of life after stroke Stroke 1997, 28:1876-1882 12 Kopec JA, Willison KD: A comparative review of four preference-weighted measures of health-related quality of life ... importance of measuring QOL as an outcome in stroke studies Conclusions The impact of stroke on individuals’ quality of life is significantly greater in comparison to patients with congestive heart failure...

Ngày tải lên: 20/06/2014, 15:20

... al: Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology Eur Heart J 2005, 26:384-416 ... http://ccforum.com/content/15/1/R1 Page of 15 Table Baseline characteristics of 171 patients admitted with acute decompensated heart failure (Continued) Etiology of heart failure, number (percentage) Ischemic heart disease ... admission for heart failure Eur J Heart Fail 2001, 3:315-322 Hobbs FD: Primary care physicians: champions of or an impediment to optimal care of the patient with heart failure? Eur J Heart Fail...

Ngày tải lên: 14/08/2014, 07:21

... will likewise result in increases in heart rate and blood pressure [8-11] The purpose of this study was to determine the effects of the acute administration of a product containing caffeine from ... and is not a constituent of C aurantium Because of the known cardiovascular effects of nor-epinephrine and ephedrine, it has generally been assumed that consumption of p-synephrine and bitter ... absorption of fats and carbohydrates [5] In spite of their widespread use and the lack of credible reports regarding adverse effects, controversy has existed regarding the safety of bitter orange...

Ngày tải lên: 25/10/2012, 11:10

... Furthermore, the shortening of diastolic time is an often overlooked mechanism of cardiac dysfunction The duration of diastole is a principal determinant of myocardial perfusion and of the blood volume ... a reduced myocardial perfusion reserve and diastolic heart failure, are an integral part of systolic heart failure any abnormal shortening of diastolic time, particularly during exercise, should ... effect of exercise on heart rate corrected diastolic time in IDCM patients yielded the following findings: LBBB was a major determinant of the duration of LV systole, irrespective of the presence of...

Ngày tải lên: 05/11/2012, 11:32

... Diagnosis of acute rheumatic fever (Quick reference guide for health professionals) Management of acute rheumatic fever (Quick reference guide for health professionals) Secondary prevention of acute ... confirmation of the diagnosis Except in the case of heart failure management, none of the treatments offered to patients with ARF has been proven to alter the TABLE 2.11 outcome of the acute episode ... SUMMARY OF MAJOR ELEMENTS OF SECONDARY PREVENTION OF ACUTE RHEUMATIC FEVER/ RHEUMATIC HEART DISEASE INDIVIDUAL LEVEL Accurate and timely diagnosis of ARF Secondary prophylaxis Prevention of infective...

Ngày tải lên: 28/03/2014, 09:20

... milrinone for acute exacerbation of chronic heart failure: a randomized controlled trial Jama 2002, 287:1541-7 Petersen JW, Felker GM: Inotropes in the management of acute heart failure Crit Care ... circulation increases with the severity of heart failure, and the high plasma level of interleukin-6 is an important prognostic predictor in patients with congestive heart failure J Am Coll Cardiol 1998, ... necrosis factor-alpha serum activity during treatment of acute decompensation of cachectic and noncachectic patients with advanced congestive heart failure Scand Cardiovasc J 1999, 33:344-50 Paraskevaidis...

Ngày tải lên: 18/06/2014, 15:20