沙库巴曲缬沙坦治疗慢性心力衰竭临床经验分享

沙库巴曲缬沙坦治疗慢性心力衰竭?临床经验分享Heartfailure:in-hospitaland1-yearmortalityHeartfailuremortalityrates:1-yearandafter5-yearMortalityratesofcancersSurvivalofHeartfailureisworsethanmostcancers!!刘某,女,27岁Case12017-11月入院2+年前2周前受凉后出就诊,超声心动图发现“全心扩大”,无活动耐量下降表现,可以爬楼4层楼。就诊外地医院诊断“心力衰竭扩张型心肌病”。治疗方案:坎地沙坦4mg倍他乐克23.75mg螺内酯20mg呋塞米20mg2年前病情变化不著,活动耐量无改变:治疗方案:坎地沙坦8mg倍他乐克71.25mg螺内酯20mgqd呋塞米20mgqd活动后气促,爬楼2层楼要休息。超声心动:LVEF28%LA5.0cmLV7.5cmRA——RV2.4cmIvd0.9cmPSAP42mmHg123LALVRARVLVPWIVdEF%肺动脉压mmHg2015-08-09青州4.66.82.61.00.942542015-08-10千佛山5.57.05.2×4.82.71.01.030522015-09-18千佛山5.27.05.6×4.32.80.80.833492015-12-17千佛山4.76.94.7×4.12.70.80.845452016-10-18潍坊市5.66.82.00.90.9342017-04-18潍坊市4.96.92.20.90.936452017-11-08潍坊市5.07.52.40.90.928422017-11-08北大人民医院5.68.05.0×3.82.91.01.127.855123心脏超声心脏声学造影心脏标志物NT-Pro-BNP2068pg/ml