Téma: 

Management of patients with decompensation of chronic heart failure

Ivan Málek, Markéta Hegarová

Chronic heart failure is a syndrome diagnosed in the presence of clinical symptoms, malfunction of the heart ventricles and neurohumoral activation. The progression of the disease is characterized by a progressive worsening of the patient status including episodes of decompensation. These conditions are prognostically very serious especially when accompanied by a renal failure. This article discusses the possibilities of prevention and specificities of the treatment of the decompensation. An important role is played by a detection of an early phase of the decompensation and the treatment of the evoking cause. The article also describes the treatment of diuretic resistance which is one of the cardio - renal syndrome manifestations. When hypotension and other symptoms of a low cardiac output dominate inotropic drugs positively contribute. Prevention, early detection and correct treatment of decompensation improve the course of chronic heart failure, the quality of life and prognosis of the patients.

Ročník 2010  Témy časopisu Cardiology for practice 2 / 2010

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MUDr. Juraj Dúbrava, PhD., FESC
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prof. MUDr. Daniel Pella, PhD.
prof. MUDr. Iveta Šimková, CSc., FESC
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FROM BORDERLINE OF CARDIOLOGY
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MANUSCRIPT ELABORATION

Write the paper on computer in any common text editor.
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1. An accurate paper title, names and surnames of all authors including academic titles, authors` workplace. The first author address including the phone number, fax and e-mail address.
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3. Key words - in the extent of 3-6 (just at overview papers, From borderline of cardiology).
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6. Bibliography
Citations are numbered chronologically in bold, references in the text are stated by the number of citations in parentheses. Use maximum 30 citations.

Examples of citations:
1. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett´ esophagus? Gastroenterology 2000; 119: 333-338.
2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285: 430-436.
3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
5. Osborne BE. The electrocardiogram of the rat. In: Budden R, Detweiler DK, Zbinden G. The rat electrocardiogram in pharmacology and toxicology. Oxford: Pergamon Press 1981: 15-27.

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In which patients, after overcoming of a thromboembolic cerebral or peripheral event, the least suitable catheter closure is foramen ovale patents:
a. a woman before planned pregnancy
b. paroxysmal fibrillation of the atrium
c. aneurysm of the atrium septum
d. origination of an event after cough

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