Chronic Heart Failure

I. Quality of Life II. Nitrate Therapy

Nonfiction, Health & Well Being, Medical, Medical Science, Pharmacology, Specialties, Internal Medicine, Cardiology
Cover of the book Chronic Heart Failure by , Springer Berlin Heidelberg
View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart
Author: ISBN: 9783642764332
Publisher: Springer Berlin Heidelberg Publication: December 6, 2012
Imprint: Springer Language: English
Author:
ISBN: 9783642764332
Publisher: Springer Berlin Heidelberg
Publication: December 6, 2012
Imprint: Springer
Language: English

A. Schneeweiss Although the syndrome of congestive heart failure has been recognized many years ago, the approach for its evaluation and treatment has until recently, been partial and 'fragmentary'. Various aspects of the disease have been treated according to the evaluation tools and therapeutic measures available at each period. This approach resulted in some of the greatest achievements in the management of heart failure but also left many aspects neglected and also resulted in several paradoxes. Examples of the achievements and limitations of the 'fragmentary' ap­ proach are the use of diuretics and hemodynamic measurements. The devel­ opment of diuretics has provided us with an important tool for helping pa­ tients whose predominant problem was edema. The success of diuretics masked the fact that their use may often be hemodynamically unsound and that they may reduce cardiac output. Only many years after their introduction has the use of diuretics found its appropriate place. Hemodynamic monitoring has gone via the same path. The great contribu­ tion of continuous bedside hemodynamic measurements to understanding heart failure resulted in over-usage by many clinicians, who found themselves treating hemodynamic charts rather than patients. It took almost a decade to realize that hemodynamic improvement, even in the chronic setting, does not necessarily mean symptomatic improvement or an increase in exercise capac­ ity.

View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart

A. Schneeweiss Although the syndrome of congestive heart failure has been recognized many years ago, the approach for its evaluation and treatment has until recently, been partial and 'fragmentary'. Various aspects of the disease have been treated according to the evaluation tools and therapeutic measures available at each period. This approach resulted in some of the greatest achievements in the management of heart failure but also left many aspects neglected and also resulted in several paradoxes. Examples of the achievements and limitations of the 'fragmentary' ap­ proach are the use of diuretics and hemodynamic measurements. The devel­ opment of diuretics has provided us with an important tool for helping pa­ tients whose predominant problem was edema. The success of diuretics masked the fact that their use may often be hemodynamically unsound and that they may reduce cardiac output. Only many years after their introduction has the use of diuretics found its appropriate place. Hemodynamic monitoring has gone via the same path. The great contribu­ tion of continuous bedside hemodynamic measurements to understanding heart failure resulted in over-usage by many clinicians, who found themselves treating hemodynamic charts rather than patients. It took almost a decade to realize that hemodynamic improvement, even in the chronic setting, does not necessarily mean symptomatic improvement or an increase in exercise capac­ ity.

More books from Springer Berlin Heidelberg

Cover of the book Fundamentals of Inertial Navigation, Satellite-based Positioning and their Integration by
Cover of the book Coalgebraic Methods in Computer Science by
Cover of the book Hot Cracking Phenomena in Welds III by
Cover of the book Efficient Implementation of High-Order Accurate Numerical Methods on Unstructured Grids by
Cover of the book Pregnancy and Birth After Assisted Reproductive Technologies by
Cover of the book Anthropogenic Compounds by
Cover of the book Funktionsdiagnostik in Endokrinologie, Diabetologie und Stoffwechsel by
Cover of the book Frontiers in European Radiology by
Cover of the book Tribology of Nanocomposites by
Cover of the book Radiology Illustrated: Uroradiology by
Cover of the book Creative Crisis in Democracy and Economy by
Cover of the book Ratgeber angeborene Herzfehler bei Kindern by
Cover of the book The Crossing of Heaven by
Cover of the book Essays on Future Trends in Anaesthesia by
Cover of the book Coarse-Grained Modelling of DNA and DNA Self-Assembly by
We use our own "cookies" and third party cookies to improve services and to see statistical information. By using this website, you agree to our Privacy Policy