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How to tackle congestion in acute heart failure
( Pieter Martens ),( Wilfried Mullens ) 대한내과학회 2018 The Korean Journal of Internal Medicine Vol.33 No.3
Acute heart failure is a common complication of chronic heart failure and is associated with a high risk for subsequent mortality and morbidity. In 90% of case acute heart failure is the resultant of congestion, a manifestation of fluid build-up due to increased filling pressures. As residual congestion at discharge following an acute heart failure episodes is one of the strongest predictors of poor outcome, the goal of therapy should be to resolve congestion completely. Important to comprehend is that increased cardiovascular filling pressures are not solely the resultant of intravascular volume excess but can also be induced by a decreased venous capacitance. This review article focusses on the pathophysiology, diagnoses, and treatment of congestion in acute heart failure. A clear distinction is made between states of volume overload (intravascular volume excess) or volume redistribution (decreased venous capacitance) contributing to congestion in acute heart failure.
심부전으로 인한 호흡곤란 환자에게 시행한 침도침 시술 1례 보고
김민정,홍권의 대한침구의학회 2009 대한침구의학회지 Vol.26 No.2
Objectives : The purpose of this report is to report the effect of acupotomy for patients with congestive heart failure. Methods : We treated 1 patient who has dyspnea due to congestive heart failure with acupotomy. To check the effect and satisfaction of acupotomy we used New York Heart Association class(NYHA class), Modified Borg Scalw Dyspnea Index(Borg Index), Baseline Dyspnea Index(BDI), Five-point Likert scale. Results : After 1 month of treatment, the patient felt much better in breathing, and had better score in NYHA class, Borg Index, BDI. Conclusions : This report demonstrates that acupotomy therapy has useful effect on congestive heart failure, but the more cases and researches are needed.
Renal Denervation for Chronic Heart Failure: Background and Pathophysiological Rationale
Michael Böhm,Sebastian Ewen,Felix Mahfoud 대한심장학회 2017 Korean Circulation Journal Vol.47 No.1
The activation of the sympathetic nervous system is associated with cardiovascular hospitalizations and death in heart failure. Renal denervation has been shown to effectively reduce sympathetic overdrive in certain patients with uncontrolled hypertension. Pilot trials investigating renal denervation as a potential treatment approach for heart failure were initiated. Heart failure comorbidities like obstructive sleep apnea, metabolic syndrome and arrhythmias could also be targets for renal denervation, because these occurrences are also mediated by the activation of the sympathetic nervous system. Therefore, renal denervation in heart failure is worthy of further investigation, although its effectiveness still has to be proven. Herein, we describe the pathophysiological rationale and the effect of renal denervation on surrogates of the heart failure syndrome.
심부전(心不全)에의한 흉막삼출증(胸膜渗出症)으로 의심되는 환자(患者) 1례(例)에 대(對)한 임상적(臨床的) 고찰(考察)
김희철,이강녕,이동준,이영수,임진훈,이용운,김일렬,최창원,Kim, Hee-Chul,Lee, Kang-Nyung,Lee, Dong-Joon,Lee, Young-Soo,Lim, Jin-Hoon,Lee, Young-Yoon,Kim, Il-Ryul,Choi, Chang-Won 대한한방내과학회 2000 大韓韓方內科學會誌 Vol.21 No.4
Pleural effusion is a state, retention of a mount of liquid in pleural cavity. Main causes of pleural effusion is Congestive Heart Failure that is caused by left ventricular heart failure. And that of Congestive heart failure is caused by increase of pleural capillary pressure or remain of effusion in pleural cavity. Bilateral venous pressure of pleura make worse pleural effusion and one way of venous pressure of that bring out pleural effusion. The purpose of this study is to examine the efficacy of oriental treatment for pleural effusion is caused by heart failure. One woman of 86 years old complained the symptom of general weakness, dyspnea, flank pain, anorexia, insomnia, coughing, secretion mixed blood. The symptom is caused by effusion that is brought out acute pneumonia, heart failure. At the time of Admission, in the diagnosis of Admission, in the diagnosis of Hyuneum(懸飮) she had taken Kungha-tang hap pleurisy-bang,(芎夏湯合助膜炎方), so improved dyspnea, flank pain, insomnia, coughing. In views of examination, decrease of heart failure' s symptom and pleural effusion. After 13days of admission, she had taken palmul-tang.(八物湯). As a conseguence of that, the symptom of general weakness. anorexia is improved and she was discharged.
베타 차단제가 좌심실 부전에 미치는 효과의 심초음파 평가
정상만 건국대학교 의과학연구소 2000 건국의과학학술지 Vol.10 No.-
Backgrourd. Neurohormonal compensation plays an important role on the pathophysiologic aspects of congestive heart failure. There is recent clinical evidence that beta blocker may be beneficial in selected patients. Methods. 19 patients of congestive heart failure under stable condition by conventional management were selected. From 12.5mg to 25mg of carvedilol was given according to the clinical condition. The blood pressure(BP), heart rate(HR), left ventricular end diastolic dimension(LVEDD), left ventricular end systolic dimension(LVESD), ejection fraction(EF), mitral doppler E wave deceleration time(Ew DT), E/A ratio were measured by echocardiographic examination before and 3 months after carvedilol trial. Results. The HR and systolic BP were decreased from 88.4±23.8 to 69.7±19.32 (p<0.00001) and from 123.7±13.1mmHg to 113.4±26.9mmHg(p<0.05) respectively by carvedilol treatment. The LVED volume index was also decreased from 123.4±71.0ml/m2 to 98.7±60.9ml/m2(p<0.0001) by carvedilol. And the EF was increased from 42.8±17.4% to 53.0±16.7%(p<0.05) by carvedilol. The Ew DT after carvedilol trial was increased from 169.1±79.0msec to 199.6±94.6msec(p<0.05). However the E/A ratio was not changed. Conclusion. Carvedilol is a useful adjunctive therapy for congestive heart failure patients under conventional treatment by Improving left ventricular systolic and diastolic function.
우철희,장지민,우찬욱,이기형,이광철,Woo, Chul Hee,Jang, Ji Min,Woo, Chan Wook,Lee, Ki Hyung,Lee, Kwang Chul The Korean Pediatric Society 2006 Clinical and Experimental Pediatrics (CEP) Vol.49 No.1
윌름씨 종양은 주로 1-5세에 복부에 생기는 종양으로 약 25% 이상에서 고혈압을 동반하지만 심각한 고혈압에 의하여 심부전을 보이는 경우는 매우 드물다. 저자들은 3세된 여자 아이가 윌름씨 종양으로 인한 고레닌 혈증으로 다음, 다뇨, 저나트륨성 고혈압과 심부전을 보였으나 수술적으로 종양을 제거한 후 증상 호전을 보였기에 문헌 고찰과 함께 보고하는 바이다. A 3-year-old girl presented with polydipsia, polyuria, hyponatremia, hypertension and congestive heart failure. Her polyuria was unresponsive to water restriction and vasopressin challenge tests, and her blood pressure was not effectively controlled by antihypertensive drugs. Radiologic examinations revealed a Wilms' tumor in the right kidney. Her plasma renin activity and aldosterone concentration were greatly increased. After surgical removal of the tumor, the congestive heart failure disappeared. Congestive heart failure due to Wilms' tumor is very rare and we report here on such a case, with a brief review of the literature.