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JOURNAL READING

2016 ESC Guidelines for the Diagnosis and
Treatment of Acute and Chronic Heart Filure

Disusun Oleh :
Pembimbing : dr. Lusito Anisa Fauziah
30101306874

Publikasi

pulmonary crackles and peripheral oedema) caused by a structural and/or functional cardiac abnormality. DEFINITION • HF is a clinical syndrome characterized by typical symptoms (e.g. elevated jugular venous pressure.ankle swelling.g. resulting in a reduced cardiac output and / or elevated intracardiac pressures at rest or during stress. . breathlessness and fatigue) that may be accompanied by signs (e.

Terminology .

symptom severity correlates poorly with many measures of LV function. Terminology related to the symptomatic severity of Heart Failure • The NYHA functional classification (has been used to describe the severity of symptoms and exercise intolerance. although there is a clear relationship between the severity of symptoms and survival. . However. patients with mild symptoms may still have an increased risk of hospitalization and death.

palpitation. Comfortable at rest. Ordinary physical activity does not cause undue fatigue.Class Patient Symptoms No limitation of physical activity. Symptoms of heart failure at IV rest. or dyspnea. Ordinary physical activity results II in fatigue. . Unable to carry on any physical activity without discomfort. Less than ordinary activity III causes fatigue. Slight limitation of physical activity. Marked limitation of physical activity. Comfortable at rest. palpitation. dyspnea (shortness of breath). If any physical activity is undertaken. dyspnea (shortness of breath). I palpitation. discomfort increases.

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ETIOLOGY .

65 years of age presenting to primary care with breathlessness on exertion. hospital clinic.16 The proportion of patients with HFpEF ranges from 22 to 73%. hospital admission). rising to ≥10% among people . one in six will have unrecognized HF (mainly HFpEF). the clinical setting (primary care. Epidemiology • The prevalence of HF depends on the definition applied. age and sex of the studied population.19 The lifetime risk of HF at age 55 years is 33% for men and 28% for women. but is approximately 1–2% of the adult population in developed countries.14 – 17 Among people. depending on the definition applied.18. previous myocardial infarction and the year of publication. .70 years of age.

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Algorithm for the diagnosis of Heart Failure .

Cardiac imaging .

Cardiac imaging .

Other diagnostic tests .

Other diagnostic tests .

Delaying or preventing the development of overt heart failure or preventing death before the onset of symptoms .

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Pharmacological treatment of heart failure .

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. It is a life-threatening medical condition requiring urgent evaluation and treatment. Definition • AHF refers to rapid onset or worsening of symptoms and/or signs of HF. typically leading to urgent hospital admission.

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Education .

Terima Kasih  .