Management of acute heart failure in the emergency department: drug therapy approach
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Universidad Industrial de Santander
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Según la Sociedad Colombiana de Cardiología, la insuficiencia cardíaca es un síndrome que se caracteriza por alta mortalidad, hospitalizaciones frecuentes y mala calidad de vida, todo en un contexto de múltiples comorbilidades que generan, en su conjunto, un alto costo de atención, por tanto se diseñaron unas medidas farmacológicas, para el manejo de esta patología en el servicio de Urgencias, como pilar fundamental, para el personal médico cuando se enfrenta a un paciente con una crisis aguda. Se revisarán las indicaciones de las diferentes terapias, como son el uso de oxigenoterapia, diuréticos de asa, vasodilatadores, inotrópicos, vasopresores, como terapia inicial, y de otros complementarios como los opiáceos y beta-bloqueadores. El objetivo principal de este artículo es realizar una revisión bibliográfica, basándose principalmente en artículos y guías actualizadas, logrando recopilar la información, acerca del manejo ideal; identificando así, los grupos de fármacos de elección, precauciones y contraindicaciones de los mismos. (MÉD.UIS.2013;26(1):69-79).
According to Colombian society of cardiology, heart failure is a syndrome characterized by high mortality, frequent hospitalization and poor quality of life, particularly in the context of generating multiple comorbidities, overall, a high cost of care, thus pharmacological measures were designed for the management of this condition in the emergency department, as a fundamental pillar for medical staff when faced with a patient with an acute crisis. A review of the indications of different therapies, such as the use of oxygen therapy, loop diuretics, vasodilators, ionotropes, vasopressors, as initial therapy, and others such as opioids, beta-blockers. The main objective of this paper is to review literature, mainly based on articles and updated guidelines, gather information about the ideal management, this identifying the groups of drugs of choice, precautions and contraindications of these. (MÉD.UIS.2013;26(1):69-79).
According to Colombian society of cardiology, heart failure is a syndrome characterized by high mortality, frequent hospitalization and poor quality of life, particularly in the context of generating multiple comorbidities, overall, a high cost of care, thus pharmacological measures were designed for the management of this condition in the emergency department, as a fundamental pillar for medical staff when faced with a patient with an acute crisis. A review of the indications of different therapies, such as the use of oxygen therapy, loop diuretics, vasodilators, ionotropes, vasopressors, as initial therapy, and others such as opioids, beta-blockers. The main objective of this paper is to review literature, mainly based on articles and updated guidelines, gather information about the ideal management, this identifying the groups of drugs of choice, precautions and contraindications of these. (MÉD.UIS.2013;26(1):69-79).
Keywords
Diuretics, Oxygen Inhalation Therapy, Heart Failure, Diuréticos, Terapia por inhalación de Oxígeno, Insuficiencia cardíaca