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7.2.3
[(H-ISDN)
]
7.2.4 ARB
109
ARB ACEI EF 40%
ACEI -ARB EMPHASIS-HF
- ARB
RALES EMPHASIS-HF MRA ARB
2 RCT[(Val-HeFT) CHARM-Added] 7600
ARB ACEI
110111
Val-HeFT 93% CHARM-Added 100%
Val-HeFT 35% CHARM-Added 55% -
CHARM-Added RRR 16%
ACE - MRA
ARB Val-HeFT
RRR 24% CHARM-Added RRR 17%
- ARR 4.4%
CHARM-Added NNT 41 1
23
Val-HeFT ARR3.3%
NNT 23 30
ARB ARB
7.2.7 H-ISDN
ACEI - RCT
14-116
RCT H-ISDN
ACEI- MRA
116
RCT
H-ISDN (V-HeFT-I A-HeFT) RCT
114-116
(V-HeFT-II) RCT
V-HeFT-I 642 H-ISDN
114
- ACEI MRA
H-ISDN 2.3
RRR22%ARR 5.3% NNT 19H-ISDN LVEF
A-HeFT 1050 NYHA III-IV
H-ISDN ( 90%),(60%), ACEI(70%),ARB(17%), -
116
(74%),(39%) 20 mg ISDN/37.5 mg Tid,
40 mg/75 mg Tid 10 RRR43% ARR
4.0% NNT 25)H-ISDN (RRR 33%)
(CORONA) GISSI-HF
127128
CORONA 5011 EF40%(60 )(NYHA II-IV )
127
GISSI-HF 4574 EF40% EF>40%
1 (NYHA II-IV )
ACEI/ARB 94%, - 63% 40% 3.9
7.3.2
- RCT
129130
ACEI ARB
7.3.3 OAC
HF-REF HF-PEF
130
10.1 -
7.4
NYHA II-IV
131
III A
133
CCB 134
III B
-2 13
5
III B
13
6
ARB ACEI MRB
III C -
7.5
ACEI- MRA
EF
HF-REF
HF-PEF
HF-REF ACEIARB MRA
/
15 16
ACEI MRA ARB
ACEIARB MRA
ACEIMRA ARB
16 HF-REF HF-PEF
(mg) (mg)
a
2040 40240
0.51.0 15
510 1020
b
2.5 2.510
25 12.5100
2.5 2.510
c
2.5 2.55
d
8. HF-PEF
HF-PEF
HF-REF
AF 11 <30
CCB
137138
CCB AF
HF-REF -
HF-PEF AF CCB HF-REF 7.4
HF-PEF
3023 CHARM-Preserve
139
850 PEP-CHF
140
4128 I-Preserve
MI
9. HF-REF
ICD CRT 2008 ICD
1
CRT RCT
142
/
9.1
143
ICD
9.1.1
ICD
EF 1 ICD
144147
9.1.2
SCD-HeFT) 2521
EF35% NYHA II-III ACEI
ARB96%-(69%)MRA
149
ICD
45.5 ICD RRR 23% ( P=0.007)
ACEI -
ICD
144
I A
>1 ICD 147
NYHA II-III ) - - -
35%>1 ICD - - -
NYHA III IV
CRT
LBBB QRS QRS 120 ms LBBB QRS EF I A 156,
35%>1 CRT-P/CRT-D 157
CRT-D=-CRT-P=-LBBB=
92
154155 156157
2 RCT CRT NYHA II
1
LVEF (30%)QRS (150 ms) ECG
CRT
AF
CRT
158
HF-REF QRS > 120 ms
159160
CRT
NYHA II
CRT
LBBB QRS QRS 130 ms LBBB QRS EF
154
30%>1 CRT CRT-D I A
155
CRT-D=-LBBB=
9.2.1
2 RCT[
COMPAN-IONCARE-HF 2333
156157
NYHA III-IV CRT
COMPANION EF35%QRS 120 ms
CARE-HF EF35%QRS 120 ms
QRS 120-149 ms LV
30 mm
CRT [ COMPANION
CRT-(CRT-P) RRR 24% CRT- (CRT-D) RRR 36%
CARE-HF CRT-P RRR 36%] CARE-HF CRT-P RRR 52%
ACEI- MRA
COMPANION 16 CRT-D
RRR 8.6% 12 NNT CARE-HF
29 CRT-P RRR 16.6%NNT 6
CRT
CRT NYHA
IIIIV CRT
RCT 3618 MADIT-CRT NYHAI 15%
NYHA II 85%[/RAFTNYHA II 80%
NYHA III 20%] ICD
154155
CRT-D MADIT-CRT EF 30%QRS 130 ms
RAFT EF30%QRS 120 ms ( 13% AF
)
CRT ( MADIT-CRT )
MADIT-CRT RRR 34% RAFT RRR 25% RAFT
25%( P=0.003) MADIT-CRT
ACEI-MRA ICD
MADIT-CRT -ARR 8.1%
NNT 2.4 1 12 RAFT ARR 7.1% NNT 14
40
CRT
(NYHAII-IV ) EF
CRT
CRT-D=-CRT-P=-
LBBB
164165
LV
HF-REF CRT
10HF-REF HF-PEF
143
ESC
AF AF
AF
AF AF
166
AF AF
/
10.1.1
*
- HF-REF
HF-REF
3 /
( II-IV )/
1 -
I A 92-9
8
1
1. I B 113
2. IIb C -
3. IIb C -
(
CRT)
2
I B 113
2
1. IIb C -
1
2. IIb C -
( CRT)
( IIb C -
)
III
AF 3 HF-REF
HF-REF -
167
-
168
-- HF-PEF
CCB- HF-REF
134167
CCB
CCB
AF
170
RCT
AF-CHF
171
<80 /6 <110 /
CRT
164
9.2