. . "RIV/00216224:14110/09:00035813!RIV10-MSM-14110___" . "Chronic cardiac failure treatment in an internal medicine ambulance Summary: Management of chronic heart failure in an internal medicine ambulance at present is based on blockade of the renin-angiotenzin-aldosterone system (RAAS) with angiotenzin converting enzyme inhibitors (ACEI) or angiotenzin II receptor1 (AT1) blockers (ARB) or, alternatively, aldosterone receptor blockers (BAR) and, in addition, blockade of the sympathetic nervous system with beta-blockers (BB). When water retention occurs, diuretics are added to this combination. Should this treatment be ineffective, or in case of atrial fibrillation, digoxine is added. Further therapeutic modalities are more suitable for specialized cardiology and hospital care where drugs are administered intravenously or approaches other than pharmacological are used, including resynchronization therapy and internal defibrillator implantation or, in indicated cases, inclusion of the patient in a transplantation programme."@en . "Chronic cardiac failure treatment in an internal outpatient department"@en . "S, Z(MSM0021622402)" . "L\u00E9\u010Dba chronick\u00E9ho srde\u010Dn\u00EDho selh\u00E1n\u00ED v intern\u00ED ambulanci"@cs . "14110" . . "L\u00E9\u010Dba chronick\u00E9ho srde\u010Dn\u00EDho selh\u00E1n\u00ED v intern\u00ED ambulanci" . . . . . "Z\u00E1kladem l\u00E9\u010Dby chronick\u00E9ho srde\u010Dn\u00EDho selh\u00E1n\u00ED v intern\u00ED ambulanci je v sou\u010Dasnosti blok\u00E1da syst\u00E9mu renin angiotenzin aldosteron (RAAS) pomoc\u00ED inhibitor\u016F angiotenzin konvertuj\u00EDc\u00EDho enzymu (ACEI) nebo blok\u00E1tor\u016F receptor\u016F AT1 pro angiotenzin II sartan\u016F (ARB), event. blok\u00E1tor\u016F aldosteronov\u00FDch receptor\u016F (BAR), d\u00E1le blok\u00E1da sympatick\u00E9ho syst\u00E9mu pomoc\u00ED betablokator\u016F (BB). K t\u00E9to kombinaci p\u0159id\u00E1v\u00E1me p\u0159i retenci tekutin diuretika. Je-li tato l\u00E9\u010Dba ne\u00FA\u010Dinn\u00E1 \u010Di je-li p\u0159\u00EDtomna fibrilace s\u00EDn\u00ED, p\u0159id\u00E1v\u00E1me digoxin. Dal\u0161\u00ED l\u00E9\u010Debn\u00E9 postupy ji\u017E pat\u0159\u00ED do specializovan\u00E9 kardiologick\u00E9 a nemocni\u010Dn\u00ED p\u00E9\u010De, kde pod\u00E1v\u00E1me l\u00E9ky nitro\u017Eiln\u011B nebo vol\u00EDme nefarmakologick\u00E9 postupy, v\u010Detn\u011B resynchronizace a implantace vnit\u0159n\u00EDho defibril\u00E1toru nebo u vhodn\u00FDch nemocn\u00FDch za\u0159azen\u00ED do transplanta\u010Dn\u00EDho programu" . . "[09D0F6666AAD]" . "323419" . "L\u00E9\u010Dba chronick\u00E9ho srde\u010Dn\u00EDho selh\u00E1n\u00ED v intern\u00ED ambulanci"@cs . . . "CZ - \u010Cesk\u00E1 republika" . "Vnit\u0159n\u00ED l\u00E9ka\u0159stv\u00ED" . . . "heart failure; ACE inhibitors; beta-blockers; digoxine; diuretics"@en . "55" . "3"^^ . "Z\u00E1kladem l\u00E9\u010Dby chronick\u00E9ho srde\u010Dn\u00EDho selh\u00E1n\u00ED v intern\u00ED ambulanci je v sou\u010Dasnosti blok\u00E1da syst\u00E9mu renin angiotenzin aldosteron (RAAS) pomoc\u00ED inhibitor\u016F angiotenzin konvertuj\u00EDc\u00EDho enzymu (ACEI) nebo blok\u00E1tor\u016F receptor\u016F AT1 pro angiotenzin II sartan\u016F (ARB), event. blok\u00E1tor\u016F aldosteronov\u00FDch receptor\u016F (BAR), d\u00E1le blok\u00E1da sympatick\u00E9ho syst\u00E9mu pomoc\u00ED betablokator\u016F (BB). K t\u00E9to kombinaci p\u0159id\u00E1v\u00E1me p\u0159i retenci tekutin diuretika. Je-li tato l\u00E9\u010Dba ne\u00FA\u010Dinn\u00E1 \u010Di je-li p\u0159\u00EDtomna fibrilace s\u00EDn\u00ED, p\u0159id\u00E1v\u00E1me digoxin. Dal\u0161\u00ED l\u00E9\u010Debn\u00E9 postupy ji\u017E pat\u0159\u00ED do specializovan\u00E9 kardiologick\u00E9 a nemocni\u010Dn\u00ED p\u00E9\u010De, kde pod\u00E1v\u00E1me l\u00E9ky nitro\u017Eiln\u011B nebo vol\u00EDme nefarmakologick\u00E9 postupy, v\u010Detn\u011B resynchronizace a implantace vnit\u0159n\u00EDho defibril\u00E1toru nebo u vhodn\u00FDch nemocn\u00FDch za\u0159azen\u00ED do transplanta\u010Dn\u00EDho programu"@cs . "3"^^ . . "0042-773X" . . . . "Suppl 1" . "\u0160pinar, Jind\u0159ich" . . "Chronic cardiac failure treatment in an internal outpatient department"@en . . "L\u00E9\u010Dba chronick\u00E9ho srde\u010Dn\u00EDho selh\u00E1n\u00ED v intern\u00ED ambulanci" . . "4"^^ . "V\u00EDtovec, Ji\u0159\u00ED" . "RIV/00216224:14110/09:00035813" . "\u0160pinarov\u00E1, Lenka" . .