Management of Severe Heart Failure
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概要
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Patients admitted to the hospital with heart failure (HF) include those with new-onset of acute HF and those with acute exacerbation of chronic HF (CHF). In therapy for new-onset acute HF associated with acute myocardial infarction, therapy to inhibit left ventricular (LV) remodeling in the convalescent phase is required in addition to that needed to overcome the acute phase. Hitherto, CHF therapy was aimed at improving LV contractability, whereas more recently the aim has shifted to resting the heart. Most patients with HF should be routinely managed with a combination of 3 types of drugs: a diuretic; an angiotensin converting enzyme inhibitor and/or an angiotensin II receptor blocker; and a β-blocker. The administration of β-blockers is of particular importance. For HF unresponsive to medical therapy, non-pharmacological therapies are considered. When a HF patient fails to respond to all available therapies, heart transplantation becomes necessary. Of the 1,000 HF patients admitted to our hospital, two cases received heart transplants. 11 cases were indicated for heart transplantation but died before registration. It should be remembered that although in Japan the possibility of receiving a heart transplant is very low, it is by no means entirely impossible.
- 2009-06-20
著者
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HISHIDA Hitoshi
Division of Cardiology, Department of Internal Medicine, Fujita Health University School of Medicine
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HORIBE Hiroshi
Keisen Clinic
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Kitaura Y
Third Department Of Medicine Osaka Medical College
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Hishida Hitoshi
Department Of Internal Medicine Fujita Health University School Of Medicine
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Hishida Hitoshi
大阪大学 医学部臨床遺伝子治療学
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Hishida H
Department Of Cardiology Nagoya Memorial Hospital
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Hishida H
Department Of Internal Medicine Fujita Health University School Of Medicine
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Morimoto Shin-Ichiro
Division of Cardiology, Department of Medicine, Fujita Health University School of Medicine
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HIRAMITSU Shinya
Cardiology, Hiramitsu Heart Clinic
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MIYAGISHIMA Kenji
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
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KIMURA Hisashi
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
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MORI Kazumasa
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
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SHIINO Kenji
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
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YAMADA Akira
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
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KATO Shigeru
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
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KATO Yasuchika
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
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OZAKI Yukio
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
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Hishida Hitoshi
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Morimoto Shin-ichiro
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Mori Shin
Department Of Internal Medicine Fujita Health University School Of Medicine
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Kitaura Yasushi
Department Of Cardiovascular Science And Medicine Chiba University Graduate School Of Medicine
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Kitaura Yasushi
大阪医科大学 3内
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Kitaura Yasushi
大阪医科大学 薬理学教室
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Kitaura Yasushi
Third Division Department Of Internal Medicine Osaka Medical College
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Kinoshita Masamoto
Department Of Cardiology Fujita Health University
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Hiramitsu Shinya
Cardiology Hiramitsu Heart Clinic
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Kawakami Yoshihide
Third Division Department Of Internal Medicine Osaka Medical College
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Kawakami Yoshihide
大阪医科大学 第3内科
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Mori Shin
Saitama Medical Center Jichi Medical University
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Hishida H
Department Of Cardiology Fujita Health University
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Harigaya Hiroto
Department Of Cardiology Fujita Health University
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Kitaura Yasushi
Third Department Of Internal Medicine Osaka Medical College
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Kitaura Yasushi
Third Department Of Medicine Osaka Medical College
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Yoshida K
Department Of Internal Medicine And Cardiology Osaka Ekisaikai Hospital
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Morimoto Shinichiro
Division Of Cardiology Toyota Memorial Hospital
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Morimoto Shin-ichiro
First Department Of Internal Medicine Shinshu University
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Morimoto Shin-ichiro
Saitama Medical Center Jichi Medical University
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Ozaki Yukio
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Ozaki Yukio
Divisoin Of Cardiology Fujita Health University School Of Medicine
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Hishida Hitoshi
Fujita Health University Hospital
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Kato Shigeru
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Shimizu Keisuke
Department Of Cardiology Nagoya Memorial Hospital
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Yamashita Kentaro
Cardiovascular Center Nagoya Daini Red Cross Hospital
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Hirayama Haruo
Cardiovascular Center Nagoya Daini Red Cross Hospital
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Ozaki Yukio
Division Of Acute Coronary Syndrome Aichi Council Of Advanced Emergency Care
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Mori Kazumasa
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Kanzaki Yumiko
Third Department Of Internal Medicine Osaka Medical College
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Morimoto Shinichiro
Saitama Medical Center Jichi Medical University
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Morimoto Shinichiro
The Heart Institute Of Japan Tokyo Women's Medical College Tokyo
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Yoshida Kentaro
Department Of Internal Medicine University Of Tsukuba
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Miyagishima Kenji
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Kimura Hisashi
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Kihara Yasuki
Division Of Cardiology Kobe General Hospital
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Kita Y
Department Of Internal Medicine Iii Osaka Medical College
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Hishida Hitoshi
Cardiovascular Center Nagoya Daini Red Cross Hospital
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Yamada Akira
Department Of Cardiology Fujita Health University School Of Medicine
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Hishida Hitoshi
1st Department Of Internal Medicine Nagoya University School Of Medicine
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Shoji Keisuke
Division Of Cardiology Department Of Internal Medicine Daido Hospital
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Horibe Hiroshi
Department Of Internal Medicine Fujita Health University School Of Medicine
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Yoshida Kentaro
Department Of Cardiology Institute Of Clinical Medicine University Of Tsukuba
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Yamada Akira
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Morimoto Shin-ichiro
The Heart Institute Of Japan Tokyo Women 's Medical College Tokyo
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Shiino Kenji
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Hiramitsu Shinya
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Horibe Hiroshi
Keisen Clinic Hyogo
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Kitaura Yasushi
Laboratory Of Pharmacotherapy Osaka University Of Pharmaceutical Sciences
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Kitaura Yasushi
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Sekiguchi Morie
Dept. Of Cardiovascular Surqery The Heart Institute Of Japan Tokyo Women's Medical College
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Mori Kazumasa
Department Of Cardiology Fujita Health University
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Kan Shino
Department Of Cardiology Fujita Health University School Of Medicine
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Morimoto Sinichiro
Dept. Of Internal Medicine Fujita-gakuen Health University School Of Medicine
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Kato Yasuchika
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Mori Kazumasa
Fujita Health University School Of Medicine Department Of Internal Medicine Division Of Cardiology
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Sekiguchi Morie
International Cardiomyopathy Study Section Japan Research Promotion Society For Cardiovascular Disea
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Kohda Yukinao
Department Of Cardiology University Of Tsukuba Graduate School Of Comprehensive Human Sciences
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Kohda Yuka
Laboratory Of Pharmacotherapy Osaka University Of Pharmaceutical Sciences
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Morimoto Shin-ichiro
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicine
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