Management of perioperative heart failure

SoussiS.; ChattiK.; MebazaaA.

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Management of perioperative heart failure

机译：围手术期心力衰竭的处理

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PURPOSE OF REVIEW: In the perioperative period, acute heart failure can result from a variety of conditions, and treatment may vary considerably depending on its mechanism. This review aims to provide conceptual framework by selectively presenting recent knowledge and advances in acute heart failure therapies including drugs (inotropes, diuretics) and devices (mechanical assistance, biventricular pacing, ultrafiltration). RECENT FINDINGS: The calcium sensitizer levosimendan, showed a mortality benefit in cardiac surgery patients in a recent meta-analysis. A study involving patients with cardiogenic shock complicating myocardial infarction for which early revascularization was planned, intra-aortic balloon support did not reduce 30-day mortality. A novel study showed that ultrafiltration was inferior to pharmacologic therapy in acute heart failure in nonsurgical patients. Biventricular pacing provided a significant clinical benefit over right ventricular pacing in nonsurgical patients with left ventricular dysfunction and atrioventricular block. Two recently published meta-analyses confirmed the prognostic role of natriuretic peptides in the perioperative setting. SUMMARY: Poor data exist in the perioperative setting concerning acute heart failure therapies. Large trials are needed to support the use of levosimendan, mechanical assistance, utrafiltration and biventricular pacing in the perioperative setting. The prognostic role of natriuretic peptides was confirmed in the perioperative period.

机译：审查的目的：在围手术期，急性心力衰竭可以由多种疾病引起，并且根据其机制，治疗方法可能会有很大差异。这篇综述旨在通过选择性介绍急性心力衰竭治疗的最新知识和进展（包括药物（肌力药，利尿剂）和设备（机械辅助，心室起搏，超滤））提供概念框架。最近的发现：在最近的荟萃分析中，钙敏化剂左西孟旦对心脏外科手术患者显示出死亡率方面的益处。一项涉及心源性休克并发心肌梗死并计划进行早期血运重建的患者的研究表明，主动脉内球囊支持不能降低30天死亡率。一项新的研究表明，在非手术患者的急性心力衰竭中，超滤不如药物治疗。对于有左心功能不全和房室传导阻滞的非手术患者，双心室起搏比右心室起搏具有明显的临床意义。最近发表的两项荟萃分析证实了利钠肽在围手术期中的预后作用。摘要：围手术期有关急性心力衰竭治疗的数据很差。在围手术期需要大量试验来支持左西孟旦的使用，机械辅助，超滤和双心室起搏。在围手术期证实了利钠肽的预后作用。

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《Current opinion in anaesthesiology》 |2014年第2期|共6页
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SoussiS.; ChattiK.; MebazaaA.;
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正文语种 eng
中图分类麻醉学;
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acute heart failure; B-type natriuretic peptide; inotropes; mechanical assistance;

机译：急性心力衰竭;B型利钠肽;肌力药;机械辅助;

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1. The 2010 Canadian Cardiovascular Society guidelines for the diagnosis and management of heart failure update: Heart failure in ethnic minority populations, heart failure and pregnancy, disease management, and quality improvement/assurance programs. [J] . Howlett JG, McKelvie RS, Costigan J, The Canadian journal of cardiology . 2010,第4期

机译：2010年加拿大心血管协会心力衰竭的诊断和管理指南更新：少数民族人群的心力衰竭，心力衰竭和妊娠，疾病管理以及质量改善/保证计划。
2. Vascular Surgeons Play a Critical Role in the Perioperative Management of Patients With End-Stage Heart Failure [J] . Loh Thomas M., Duran Cassidy, Trachtenberg Barry, Journal of vascular surgery . 2016,第Suppla19期

机译：血管外科医生在终末期心力衰竭患者的围手术期管理中发挥着关键作用
3. Management of perioperative heart failure [J] . SoussiS., ChattiK., MebazaaA. Current opinion in anaesthesiology . 2014,第2期

机译：围手术期心力衰竭的处理
4. Clinical characteristics, management, and outcomes of patients with high risk chronic heart failure referred to a heart failure clinic in Saudi Arabia [C] . Waleed M.A. World Congress on Heart Disease. . 2013

机译：高危慢性心力衰竭患者的临床特征，管理和结果提及沙特阿拉伯的心力衰竭诊所
5. The Effectiveness of a Heart Failure Disease Management Programme on Clinical Outcomes, Health-related Quality of Life, and Psychological Status of Patients with Heart Failure in China. [D] . Yu, Mingming. 2011

机译：心力衰竭疾病管理计划对中国心力衰竭患者的临床结果，健康相关生活质量和心理状况的有效性。
6. The 2010 Canadian Cardiovascular Society guidelines for the diagnosis and management of heart failure update: Heart failure in ethnic minority populations heart failure and pregnancy disease management and quality improvement/assurance programs [O] . Primary panelist Jonathan G Howlett, Primary panelist Robert S McKelvie, Primary panelist Jeannine Costigan, 2010

机译：2010年加拿大心血管协会心力衰竭的诊断和管理指南更新：少数民族人群的心力衰竭心力衰竭和妊娠疾病管理以及质量改善/保证计划
7. ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary A report of the american college of cardiology/american heart association task force on practice guidelines (committee to revise the 1995 guidelines for the evaluation and management of heart failure) developed in collaboration with the international society for heart and lung transplantation endorsed by the heart failure society of america51The document was approved by the American College of Cardiology Board of Trustees in November 2001 and the American Heart Association Science Advisory and Coordinating Committee in September 2001.52When citing this document, the American College of Cardiology and the American Heart Association would appreciate the following citation format: Hunt SA, Baker DW, Chin MH, Cinquegrani MP, Feldman AM, Francis GS, Ganiats TG, Goldstein S, Gregoratos G, Jessup ML, Noble RJ, Packer M, Silver MA, Stevenson LW. ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1995 Guidelines for the Evaluation and Management of Heart Failure). J Am Coll Cardiol 2001;38:2101–13.53The American College of Cardiology and the American Heart Association make every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to provide disclosure statements of all such relationships that might be perceived as real or potential conflicts of interest. These statements are reviewed by the parent task force, reported orally to all members of the writing panel at the first meeting, and updated as changes occur.54This document, as well as the corresponding full-text guidelines, is available on the World Wide Web sites of the American College of Cardiology (www.acc.org) and the American Heart Association (www.americanheart.org). Single reprints of the executive summary are available for $5.00 each by calling 800-253-4636 (US only) or writing the American College of Cardiology, Educational Services, 9111 Old Georgetown Road, Bethesda, MD 20814-1699. To purchase additional reprints up to 999 copies, call 800-611-6083 (US only) or fax 413-665-2671; 1000 or more copies, call 214-706-1466, fax 214-691-6342, or e-mail pubauth@heart.org (specify version: Executive Summary—71-0125; Full Text—71-1026).55© 2001 American College of Cardiology and American Heart Association, Inc. [O] . Hunt Sharon A, Baker David W, Chin Marshall H, 2001

机译：ACC / AHA成人慢性心力衰竭评估和管理指南：执行摘要美国心脏病学会/美国心脏协会实践指南工作组的报告（委员会修订1995年心脏评估和管理指南与美国心力衰竭学会认可的国际心脏和肺移植协会合作51）该文件于2001年11月获得美国心脏病学会理事会的批准，并于2001年9月获得美国心脏协会科学咨询和协调委员会的批准.52引用本文件时，美国心脏病学会和美国心脏协会将赞赏以下引用格式：Hunt SA，Baker DW，Chin MH，Cinquegrani MP，Feldman AM，Francis GS，Ganiats TG，Goldstein S，Gregoratos G，Jessup ML，Noble RJ，Packer M，Silver MA，Stevenson LW。 ACC / AHA成人慢性心力衰竭评估和管理指南：摘要：美国心脏病学会/美国心脏协会实践指南工作组的报告（修订1995年《美国心脏病学会评估和管理指南》的委员会心脏衰竭）。 J Am Coll Cardiol 2001; 38：2101–13.53美国心脏病学会和美国心脏协会竭尽全力避免由于外部关系或个人，专业或其他原因而引起的任何实际或潜在的利益冲突。写作小组成员的商业利益。具体而言，要求写作小组的所有成员提供所有可能被视为实际或潜在利益冲突的关系的披露声明。这些声明由上级工作组审查，在第一次会议上口头报告给写作小组的所有成员，并在发生变化时进行更新。54本文档以及相应的全文指南可在万维网上找到。美国心脏病学院（www.acc.org）和美国心脏协会（www.americanheart.org）的网站。致电800-253-4636（仅适用于美国）或写信给美国心脏病，教育服务学院，地址为9111 Old Georgetown Road，Bethesda，MD 20814-1699，可以执行摘要的单个重印本，每张5.00美元。要购买最多999份的其他重印本，请致电800-611-6083（仅限美国）或传真413-665-2671； 1000或更多副本，请致电214-706-1466，传真214-691-6342或电子邮件pubauth@heart.org（指定版本：执行摘要-71-0125；全文-71-1026）。55©2001美国心脏病学会和美国心脏协会有限公司
8. Heart Failure: Evaluation and Care of Patients with Left-Ventricular Systolic Dysfunction. Clinical Practice Guideline No. 11; Heart Failure: Management of Patients with Left-Ventricular Systolic Dysfunction. Quick Reference Guide for Clinicians No. 11; Living with Heart Disease: Is It Heart Failure. Patient and Family Guide [R] . 1994

机译：心力衰竭：左心室收缩功能障碍患者的评估和护理。临床实践指南第11号;心力衰竭：左心室收缩功能障碍患者的治疗。临床医生快速参考指南第11号;与心脏病共存：是心衰吗？患者和家庭指南

Management of perioperative heart failure

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