文献詳細
今月の主題 急性心不全への挑戦
急性心不全の現状
文献概要
ポイント
★急性心不全の基礎心疾患は欧米と比して,日本は虚血性が少ない.
★急性心不全症例の既往歴では高血圧の頻度が最も高く,これは世界共通である.
★退院時処方は欧米と比して日本はACE阻害薬よりもアンギオテンシンⅡ受容体拮抗薬の投薬率が高い.
★急性心不全症例の入院期間は欧米と比して,日本は著明に長い.
★急性心不全の基礎心疾患は欧米と比して,日本は虚血性が少ない.
★急性心不全症例の既往歴では高血圧の頻度が最も高く,これは世界共通である.
★退院時処方は欧米と比して日本はACE阻害薬よりもアンギオテンシンⅡ受容体拮抗薬の投薬率が高い.
★急性心不全症例の入院期間は欧米と比して,日本は著明に長い.
参考文献
1)Gheorghiade M, et al:Diagnosis and management of acute heart failure syndromes. Bonow RO, et al:Braunwald's Heart Disease. 9th ed, 517-542, Elsevier, Philadelphia, 2011
2)Alla F, et al:Epidemiology of acute heart failure syndromes. Heart Fail Rev 12:91-95, 2007
3)Dar O, Cowie MR:Acute heart failure in the intensive care unit;Epidemiology. Crit Care Med 36:S3-8, 2008
4)Sato N, et al:Acute Decompensated Heart Failure Syndromes(ATTEND)Registry Prospective Observational Multicenter Cohort Study;Rationale, design, and preliminary data. Am Heart J 159:949-955, 2010
5)Fonarow GC, et al:For the ADHERE Scientific Advisory Committee, Study Group, and Investigators. Risk stratification for in-hospital mortality in acutely decompensated heart failure. Classification and regression tree analysis. JAMA 293:572-580, 2005
6)Gheorghiade M, et al:OPTIMIZE-HF Investigators and Coordinators. Systolic blood pressure at admission, clinical characteristics, and outcomes in patients hospitalized with acute heart failure. JAMA 296:2217-2226, 2006
7)Nieminen MS, et al:On behalf of the EuroHeart Survey Investigators EuroHeart Failure Survey II(EHFS II):a survey on hospitalized acute heart failure patients;Description of population. Eur Heart J 27:2725-2736, 2006
8)Tavazzi L, et al:On behalf of the Italian survey on Acute Heart Failure Investigators Nationwide survey on acute heart failure in cardiology ward services in Italy. Eur Heart J 27:1207-1215, 2006
9)Zannad F, et al:Clinical profile, contemporary management and one-year mortality in patients with severe acute heart failure syndromes;The EFICA study. Eur J Heart Fail 8:697-705, 2006
10)Chioncel O, et al:The Romanian Acute Heart Failure Syndromes(RO-AHFS)Registry. Am Heart J 162:142-153, 2011
11)Perna ER, et al:Overview of acute decompensated heart failure in Argentina;Lessons learned from 5 registries during the last decade. Am Heart J 151:84-91, 2006
12)Rudiger A, et al:Acute heart failure:Clinical presentation, one-year mortality and prognostic factors. Eur J Heart Fail 7:662-670, 2005
13)Pfeffer MA, et al:Effects of candesartan on mortality and morbidity in patients with chronic heart failure;The CHARM-Overall programme. Lancet 362:759-766, 2003
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