Examinando por Autor "Guallpa Ochoa, Deisy Mishel"
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- ÍtemAcceso AbiertoActualización sobre el manejo de pacientes con insuficiencia cardiaca aguda. Revisión Sistemática(Universidad Católica de Cuenca., 2024) Guallpa Ochoa, Deisy Mishel; Idrovo Vázquez, Víctor Aníbal; 0302678149Acute heart failure (AHF) is caused by the onset or rapid deterioration of signs and symptoms of heart failure (HF) and represents high mortality, requiring early assessment and treatment. Objective: To describe the current management of acute heart failure. Methodology: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines. Results: Twenty articles were analyzed. Treatment is individualized and is based firstly on alleviating symptoms and signs of pulmonary or systemic congestion, mainly using diuretics and then implementing the combination of new drugs such as beta-blockers (BB), mineralocorticoid receptor antagonists (MRAs), neprilysin inhibitor plus an angiotensin type-1 receptor blocker (ARNI), and sodium-glucose cotransporter type-2 inhibitors (SGLT2), with rapid titration and close post-discharge follow-up of patients. Conclusions: Stevenson's classification in AHF determines the treatment corresponding to the clinical profile. Furthermore, according to the studies analyzed, it is necessary to introduce the four drugs since they are safe, well-tolerated, improve quality of life, and reduce hospital readmissions for HF and all-cause mortality. Keywords: acute heart failure, diuretics, L-TGLS2 inhibitors, MRA, ARNI, beta-blockers