RELAX AHF

43 Pages·2013·3.95 MB·English

Comment on RELAX-AHF
Frank Ruschitzka, MD, FESC, FRCP
Professor of Cardiology
Head, Heart Failure and Transplantation
University Hospital Zurich
Zürich, Switzerland
Conflict of interest: Bayer, Biomarin, Biotronik, Cardiorentis, Merck, Novartis,
Pfizer
Interest in Conflict: none
Acute Heart Failure –
Lessons Learned from ACS
Weintraub Circ 2010
Acute Heart Failure – Formerly known as the
Bermuda Triangle of Cardiovascular Drugs
Acute Heart Failure – Formerly known as the
Bermuda Triangle of Cardiovascular Drugs
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Acute Heart Failure – Formerly known as the
Bermuda Triangle of Cardiovascular Drugs
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Therapies for Acute Heart Failure
Gheorgiade JACC 2009
Therapies for Acute Heart Failure
Gheorgiade JACC 2009
What Do Our ESC Heart Failure Guidelines say?
JJ McMurray EHJ 2012
Approach to Acute Therapy in Volume Overloaded
Heart Failure Patients
Clinical Congestion
Adequate Perfusion Reduced Perfusion Cardiogenic Shock
RR >110mmHg RR 85-110 mmHg RR<85mmHg
IV Diuretics
IV Diuretics
plus IV Inotropes
IV Diuretics
IV Vasodilators MCS
mod. JJ McMurray EHJ 2012
The absence of
alternatives clears the
mind marvelously
Henry Kissinger (1923 - )