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Hjertesvigtsbehandling til patienter med kronisk nedsat venstre ventrikel-funktion
Engelsk titel: Treatment of heart failure in patients with reduced left-ventricular ejection fraction Läs online Författare: Eiskjaer, Hans Språk: Dan Antal referenser: 22 Dokumenttyp: Översikt UI-nummer: 19020195

Tidskrift

Ugeskrift for Laeger 2018;180(20A)1820-4 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Treatment of heart failure with reduced ejection fraction has undergone an enormous development over the latest three decades resulting in lower mortality. Standard treatment now includes use of angiotensin-converting-enzyme (ACE)-inhibitors, beta blockers and mineralocorticoid receptor antagonists. Diuretics are still the cornerstone in the symptomatic treatment of fluid retention. Combined angiotensin II receptor blockade and neprilysin inhibition is a new treatment option instead of ACE-inhibition for selected patients. Cardiac resynchronisation therapy and prophylactic implantable cardiac defibrillators further reduce mortality.