News in cardiology.

Q4 Medicine
Jan Václavík
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引用次数: 0

Abstract

The article summarizes new advances in cardiology published in 2022, which have an impact to everyday practice of not only internists and cardiologists. The administration of polypill to patients after myocardial infarction (SECURE study), early pharmacotherapy of hypertension in pregnant women with blood pressure exceeding 140/90 mmHg (CHAP study), or the administration of dapagliflozin to patients with heart failure with preserved or mildly reduced ejection fraction (DELIVER study) have been shown to be effective. Patients with heart failure do not have to limit their sodium intake (SODIUM-HF study), on the contrary, they benefit from up-titration of guideline-recommended drugs to the maximum tolerated doses as quickly as possible (STRONG-HF study). For antihypertensives, it does not matter whether they are taken in the morning or in the evening (TIME study), nor has there been found any difference in the incidence of cardiovascular events with hydrochlorothiazide and chlortalidone (DCP study). In patients with increased cardiovascular risk, highly sensitive troponin should be measured before non-cardiac surgery as well as 24 and 48 hours after surgery to detect perioperative myocardial infarction. Different blood pressure and oxygenation targets in patients after resuscitation for out-of-hospital cardiac arrest do not affect the outcomes of their treatment.

心脏病学新闻
文章总结了 2022 年发表的心脏病学新进展,这些进展不仅对内科医生,也对心脏病医生的日常工作产生了影响。对心肌梗死后的患者服用多潘立酮(SECURE 研究)、对血压超过 140/90 mmHg 的孕妇进行高血压早期药物治疗(CHAP 研究)或对射血分数保留或轻度降低的心力衰竭患者服用达帕格列净(DELIVER 研究)已被证明是有效的。心力衰竭患者不必限制钠盐摄入量(SODIUM-HF 研究),相反,尽快将指南推荐的药物剂量提高到最大耐受剂量(STRONG-HF 研究)会使患者受益。对于降压药来说,早上还是晚上服用并不重要(TIME 研究),氢氯噻嗪和氯替利酮在心血管事件发生率方面也没有发现任何差异(DCP 研究)。对于心血管风险较高的患者,应在非心脏手术前以及手术后 24 小时和 48 小时测量高灵敏肌钙蛋白,以检测围术期心肌梗死。院外心脏骤停患者复苏后的不同血压和氧合目标不会影响治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Vnitrni lekarstvi
Vnitrni lekarstvi Medicine-Internal Medicine
CiteScore
0.50
自引率
0.00%
发文量
104
期刊介绍: Vnitřní lékařství je tiskovým orgánem České internistické společnosti České lékařské společnosti Jana Evangelisty Purkyně a Slovenskej internistickej spoločnosti Slovenskej lekárskej spoločnosti. Je vydáván nepřetržitě od roku 1955. Časopis vychází jako měsíčník, tedy 12krát do roka a podle potřeby jsou v běžném ročníku vydávána jeho suplementa, která jsou obsahově zaměřena k určitému tématu. Tematicky je časopis zaměřen široce na oblast interní medicíny se zvláštní pozorností ke kardiologii, diabetologii a poruchám metabolizmu.
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