Home Diagnosis • New PDF release: Acute and Chronic Heart Failure: Diagnosis and Therapy

New PDF release: Acute and Chronic Heart Failure: Diagnosis and Therapy

By Professor Dr. med. Wulf-Dirk Bussmann (auth.)

ISBN-10: 3642616275

ISBN-13: 9783642616273

ISBN-10: 3642648908

ISBN-13: 9783642648908

Withering confirmed 2 hundred years in the past within the 12 months 1784 that "drop­ sy" can be effectively handled with foxglove extracts. This dis­ covery ultimately resulted in the scientifically dependent remedy of center failure with chemically outlined digitalis glycosides. In Germany, fairly, the usefulness of this improvement used to be tremendously exagger­ ated and infrequently led to the indiscrimate use of digitalis for pa­ tients with coronary artery ailment and its issues. this present day, this kind of drug intervention is used extra sparingly. even as, different healing techniques have been brought, quite that of drug-induced diuresis and the concept that of vasodilation. This ebook is the results of a scientific learn of varied therapeu­ tic ways for the administration of center failure and contains medical, experimental and theoretical features. For greater than a de­ cade, a variety of healing modalities were clinically evaluated within the atmosphere of acute middle failure controlled within the extensive care unit in addition to persistent middle failure for inpatient and outpatient treatment. adventure has proven that during sure medical occasions, particu­ larly the administration of acute ailment, particular, person drug in­ tervention is needed and relies at the underlying etiology for center failure. besides the fact that, in continual middle failure, long term good fortune can purely be accomplished through the rational blend of remedy mo­ dalities. the current textual content is geared toward supplying the clinically and scientif­ ically orientated health practitioner with the pathophysiologic and pharmaco­ good judgment history essential to position into viewpoint the healing efforts for the administration of middle failure.

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Additional resources for Acute and Chronic Heart Failure: Diagnosis and Therapy

Example text

The venous vasodilating effect of nitroglycerin for example, can be impressively demonstrated with a transducer which is placed in the femoral vein and responds to diameter changes. The venous pooling effect is widespread and is particularly active in the splanchnic bed. The portal vein diameter is increased by 27 percent under the influence of nitroglycerin, the mesenteric vein diameter by 12 percent, and that of the splenic vein by 23 percent (Kober and Strohm 1982). The extent of dilation reflects the immense pooling capacity of this vascular region.

Progr Cardiovasc Dis 1: 255 Rupp M, Scherrer H, Lutz HP, Brass H (1979) Nitroglycerin bei hypertensiver Krise. 9. 1979. Pharmazeutische Verlagsgesellschaft, Miinchen, S 87-98 Schneider W, Wietschoreck A, Bussmann WD, Kaltenbach M (1983) Untersuchungen zur Langzeitwirkung hoher Nitratdosen bei Patienten mit koronarer Herzkrankheit (Abstract). Z Kardiol [Suppl 1172: 99 Shepherd JT, VanHoutte PM (1978) Role of the venous system in circulatory control. Mayo Clin Proc 53: 247-255 Shirato K, Shabetai R, Bhargava V, Franklin D, Ross J (1978) Alteration of the left ventricular diastolic pressure-segment length relation produced by the pericardium: Effects of cardiac distension and afterload reduction in conscious dogs.

Additionally, rapid digitalization might lead to toxic side effects. b) Catecholamines Catecholamines administered intravenously can produce a significantly higher increase in inotropism than digitalis. Classic substances such as epinephrine, norepinephrine and isoproterenol have been replaced by newly formulated agents such as dopamine and dobutamine. The advantage of these new drugs is a lower positive chronotropic effect. A diseased heart muscle can certainly be forced into stronger contractions and larger ejection fractions with sufficiently high doses of catecholamine.

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Acute and Chronic Heart Failure: Diagnosis and Therapy by Professor Dr. med. Wulf-Dirk Bussmann (auth.)

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