Comments on the guidelines (2021) of the ESC on the diagnosis and treatment of acute and chronic heart failure

被引：0

作者：

Frantz, Stefan ^{[1
]}

Anker, Stefan ^{[2
,3
]}

Bauersachs, Johann ^{[4
]}

Boehm, Michael ^{[5
]}

Boer, Jana

Busch, Sonia ^{[6
]}

Frey, Norbert ^{[7
]}

Perings, Christian A. ^{[8
]}

Rudolph, Tanja K. ^{[9
]}

von Haehling, Stephan ^{[10
,11
]}

Schulze, P. Christian ^{[12
,13
]}

机构：

[1] Univ Klinikum Wurzburg, Med Klin & Poliklin 1, Oberdurrbach Str 6, D-97080 Wurzburg, Germany

[2] Charite Univ Med Berlin, Deutsch Zentrum Herz Kreislaufforsch DZHK Standor, Klinikm mS Kardiol CVK, Berlin, Germany

[3] Charite Univ Med Berlin, Deutsch Zentrum Herz Kreislaufforsch DZHK Standor, Berlin Inst Hlth, Ctr Regenerat Therapies BCRT, Berlin, Germany

[4] Hannover Med Sch, Klin Kardiol & Angiol, Hannover, Germany

[5] Univ Klinikum Saarlandes, Klin Innere Med Kardiol Angiol & Internist Intens, Homburg, Germany

[6] Klinikum Coburg GmbH, Med Klin 2, Coburg, Germany

[7] Univ Klinikum Heidelberg, Klin Kardiol, Angiol, Pneumol, Heidelberg, Germany

[8] St Marien Hosp Lunen, Med Klin Kardiol Pneumol & Intens Med 1, Kath Klinikum Lunen Werne, Lunen, Germany

[9] Ruhr Univ Bochum, Herz & Diabet Zentrum Nordrhein, Univ Klin, Klin Allgemeine & Intervent Kardiol & Angiol, Bad Oeynhausen, Germany

[10] Herzzentrum Gottingen, Klin Kardiol & Pneumol, Gottingen, Germany

[11] Deutsch Zentrum Herz & Kreislaufforsch DZHK, Gottingen, Germany

[12] Univ Klinikum Jena, Klin Innere Med Kardiol Angiol Internist Intens M, Jena, Germany

[13] Deutsch Gesell Kardiol, Kommiss Klin Kardiovaskulare Med, Dusseldorf, Germany

来源：

KARDIOLOGIE | 2022年 / 16卷 / 03期

关键词：

ARNI; SGLT2; inhibitor; Atrial fibrillation; Telemedicine; Interdisciplinary management;

D O I：

10.1007/s12181-022-00543-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Heart failure is a syndrome with high morbidity and mortality. The new ESC guidelines represent the current standard for recommendations on the diagnostics and treatment of acute and chronic heart failure. The most significant change is the introduction of an altered first-line treatment for heart failure with reduced ejection fraction with a class I recommendation (ACE inhibitors or sacubitril/valsartan, beta blockers, mineralocorticoid receptor antagonists, SGLT-2 inhibitors). It is recommended that all drugs should be started early and not sequentially after titration to the maximum tolerated dose. These comments discuss the innovations of the ESC guidelines and the specific German situation.

引用

页码：207 / 212

页数：6

共 50 条

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