Protocolo de tratamiento del paciente con insuficiencia cardíaca aguda

Abstract

Treatment of acute heart failure (AHF) focuses on reducing congestion and improving possible hypoperfusion in peripheral organs. Diuretics, especially loop diuretics, are the cornerstone of treatment for relieving fluid overload. Vasodilators, such as nitrates, help reduce congestion and ventricular filling pressures. In cases of cardiogenic shock, vasoconstrictors, such as noradrenaline, and inotropics, such as dobutamine, are essential for improving peripheral perfusion. Non-pharmacological measures include oxygen therapy and non-invasive mechanical ventilation in cases of respiratory failure. In severe situations, mechanical circulatory support devices may be used to improve perfusion and survival.