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雑誌文献

循環器ジャーナル70巻4号

2022年10月発行

文献概要

特集 循環器救急診療・集中治療を極める Ⅶ.ショックを集中治療する

—心原性ショック①—急性心不全

著者: 佐藤直樹1

所属機関: 1かわぐち心臓呼吸器病院循環器内科

ページ範囲:P.637 - P.642

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・急性心筋梗塞と同様,時間軸を念頭に置いて治療を行う.
・急性心不全はSCAI分類も参考に,病態把握とそれに応じた対応が重要である.
・人工心臓や移植を念頭に置く.重症例は対応可能な施設との連携も念頭に置く.

参考文献

1)Baran DA, Grines CL, Bailey S, et al : SCAI clinical expert consensus statement on the classification of cardiogenic shock : This document was endorsed by the American College of Cardiology(ACC), the American Heart Association(AHA), the Society of Critical Care Medicine(SCCM), and the Society of Thoracic Surgeons(STS)in April 2019. Catheter Cardiovasc Interv 94 : 29-37, 2019
2)Fincke R, Hochman JS, Lowe AM, et al, SHOCK Investigators : Cardiac power is the strongest hemodynamic correlate of mortality in cardiogenic shock : a report from the SHOCK trial registry. J Am Coll Cardiol 44 : 340-348, 2004
3)Stevenson LW, Perloff JK : The limited reliability of physical signs for estimating hemodynamics in chronic heart failure. JAMA 261 : 884-888, 1989
4)Kajimoto K, Sato N, Keida T, et al : Low admission heart rate is a marker rather than a mediator of increased in-hospital mortality for patients with acute heart failure syndromes in sinus rhythm. Int J Cardiol 171 : 98-100, 2014
5)Sandfort V, Johnson AEW, Kunz LM, et al : Prolonged Elevated Heart Rate and 90-Day Survival in Acutely Ill Patients : Data From the MIMIC-III Database. J Intensive Care Med 34 : 622-629, 2019
6)Enghard P, Rademacher S, Nee J, et al : Simplified lung ultrasound protocol shows excellent prediction of extravascular lung water in ventilated intensive care patients. Crit Care 19 : 36, 2015
7)Henry JA, Altmann P : Assessment of hypoproteinaemic oedema : a simple physical sign. Br Med J 1 : 890-891, 1978
8)Lima A, Bakker J : Noninvasive monitoring of peripheral perfusion. Intensive Care Med 31 : 1316-1326, 2005
9)Ait-Oufella H, Lemoinne S, Boelle PY, et al : Mottling score predicts survival in septic shock. Intensive Care Med 37 : 801-807, 2011
10)Jentzer JC, van Diepen S, Barsness GW, et al : Cardiogenic Shock Classification to Predict Mortality in the Cardiac Intensive Care Unit. J Am Coll Cardiol 74 : 2117-2128, 2019
11)Stevenson LW : Tailored therapy to hemodynamic goals for advanced heart failure. Eur J Heart Fail 1 : 251-257, 1999

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2432-3292

印刷版ISSN:2432-3284

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