scompenso cardiaco avanzato - · pdf fileesc guidelines european heart ... of acute and...
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Scompenso Cardiaco Acuto
Quello che le Linee Guida Dicono
Luogo e data
Nome Convegno
Fabrizio Oliva
2013 ACCF/AHA Guideline for the
Management of Heart Failure
8/61 pag
329 pag
Acute HF Guidelines
Topics
European Heart Journal 2012 doi:10.1093/eurheartj/ehs104
European Heart Journal 2012 doi:10.1093/eurheartj/ehs104
Felker et al. N Engl J Med 2011
European Heart Journal 2012 doi:10.1093/eurheartj/ehs104
European Heart Journal 2012 doi:10.1093/eurheartj/ehs104
European Heart Journal 2012 doi:10.1093/eurheartj/ehs104
La
matematica
non è
un’opinione,
la medicina,
spesso, è
un’opinione
Ipoperfusione :
differenza tra la matematica e la medicina
PAC-Man Trial
Lancet 2005 ESCAPE Trial
JAMA 2005
Cardiogenic Shock
Mechanical Support: When?
Acute HF Guidelines
Acute HF Guidelines
Acute HF Guidelines
• Standard therapy remains little different than 20 years ago in terms of medication use
• …but is more advanced in terms of diagnosis and systems of care
• …and identification of potential candidates who may benefit from coronary revascularization or mechanical cardiac support
….GL need more high-quality evidence…