Kardiologie up2date 2013; 09(01): 2-5
DOI: 10.1055/s-0032-1326079
Hotline – Herzinsuffizienz
© Georg Thieme Verlag KG Stuttgart · New York

Neue ESC-Leitlinien Herzinsuffizienz 2012 – Was hat sich für unsere Praxis geändert?

Gregor Simonis
,
Markus Haass
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Publikationsverlauf

Publikationsdatum:
14. März 2013 (online)

Abstract

The current ESC-guidelines for the diagnosis and treatment of heart failure state clear-cut recommendations for the treatment of symptomatic patients with reduced LV-function: A combination of three neuro-humoral antagonists, i. e., beta-blockers, ACE inhibitors and aldosterone antagonists, all given in high doses, is the mainstay of therapy. Driven by new data, ivabradine is now recommended if the patient is further symptomatic and has a sinus tachycardia ≥ 70 /min. Cardiac resynchronization therapy (CRT) is now recommended even in patients with milder symptoms (NYHA II) when in sinus rhythm. In contrast, no evidence-based treatment exists for heart failure with preserved LV-function. In those patients, optimal treatment of the co-morbidities (CHD, hypertension, diabetes, sleep-disordered breathing, atrial fibrillation) is essential to prevent the progression to/of heart failure. For the treatment of comorbidities a holistic approach is recommended.

 
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