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Các liệu pháp giãn mạch trong điều trị suy tim cấp tính
Tóm tắt
Các thuốc giãn mạch thường được khuyến cáo để điều trị suy tim cấp tính (AHF), tuy nhiên chúng ít được sử dụng. Bài đánh giá này nhằm đánh giá tính tiện ích lâm sàng của các loại thuốc giãn mạch truyền thống, lịch sử và mới trong điều trị AHF. Không có liệu pháp giãn mạch truyền thống (ví dụ: nitroglycerin) nào chắc chắn cải thiện được kết quả ngắn hạn hoặc dài hạn. Mặc dù đã có nhiều nỗ lực lặp đi lặp lại để phát triển các phương pháp điều trị dược lý mới, nhưng không có liệu pháp mới nào vượt trội hơn so với quản lý truyền thống. Tại thời điểm hiện tại, chúng tôi vẫn tiếp tục khuyến cáo sử dụng các thuốc giãn mạch truyền thống, chẳng hạn như nitroglycerin. Việc sử dụng một số thuốc giãn mạch trong điều trị AHF cải thiện hemodynamics và cung cấp sự giảm nhẹ tạm thời; tuy nhiên, dữ liệu về lợi ích dài hạn vẫn còn thiếu.
Từ khóa
#giãn mạch #suy tim cấp tính #nitroglycerin #liệu pháp điều trị #kết quả lâm sàngTài liệu tham khảo
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