tailieunhanh - Bài giảng Suy tim và bệnh lý mạch vành - Ts Ngô Minh Hùng

Bài giảng Suy tim và bệnh lý mạch vành gồm các nội dung: Xu hướng tử vong do bệnh tim mạch, biến cố tim mạch tái phát sau NMCT, tần suất suy tim, đánh giá suy tim trong NMCT, điều trị suy tim sau nhồi máu cơ tim, . Mời các bạn cùng tham khảo để nắm nội dung chi tiết. | Suy tim và bệnh lý mạch vành Ts Ngô Minh Hùng Khoa Tim mạch Can thiệp BVCR Types of CMs Overview1-5 Ischemic CM LV dysfunction as a result of a Ischemic CM chronic lack of oxygen due to CAD Dilated CM Mostly idiopathic CM Non-ischemic CM Restrictive CM Myocardial disorder in which the Hypertrophic CM heart muscle is structurally and functionally abnormal Arrhythmogenic non-ventricular CM Not related to CAD Hypertensive CM Other CMs Stress-induced quot Takotsubo quot CM Do not fit well into the general Chemotherapy-induced CM classifications Peripartum CM LV non-compact As per AHA and ESC classification under the auspices of the Working Group on Myocardial and Pericardial Diseases the cardiomyopathies were classified to specify only non-ischemic CM and excludes ischemic CM myocardial involvement secondary to coronary artery disease systemic hypertension and valvular and congenital heart disease. CM cardiomyopathy CAD coronary artery disease LV left ventricle. 1. Elliott P et al. Eur Heart J. 2008 29 270 6 2. Morrow DA et al. Braunwald s Heart Disease A Textbook of Cardiovascular Medicine. 9th ed. 2011 chap 57. 3. Yancy et al. Circulation. 2013 128 e240-e327 4. https health ischemic-cardiomyopathy causes 5. Shore S et al. J Am Coll Cardiol HF 2015 3 906 16 2 Ischemic cardiomyopathy 1 2 Defined as LV systolic dysfunction Defined as LV systolic dysfunction with one or more of the following a history of prior myocardial revascularization or MI gt 75 stenosis in the left main stem or left anterior descending artery 2 vessels with a gt 75 stenosis A spectrum of pathophysiological states ranging from myocardial stunning hibernation and scarring Pathophysiological Mechanisms Include depletion of ATP Reduction in the sensitivity to calcium and oxygen-free radical generation Resulting in abnormal function of the sarcoplasmic reticulum Myocardial infarction CAD coronary artery disease LV left ventricle HFrEF heart failure with reduced ejection fraction IHD