Home/Education & CME/Dr David Simの臨床症例：心不全患者におけるNT-proBNP

Dr David Simの臨床症例：心不全患者におけるNT-proBNP

Education & CME
臨床症例
Dr-Sim-Clinical-Cases-Cardio-ThinkLab
Dr David Sim Cardiologist, Heart Failure Program Director, National Heart Center Singapore; Immediate past president of Heart Failure Society (Singapore)
22 July 2021

以下の3つのタブをクリックすることで、異なるタイプの心不全患者に切り替わります。

head-tile-img

53歳女性

head-tile-img

主な徴候および症状

利尿剤の静脈内投与のために入院が必要な急性非代謝性心不全
– LVEF 25%

head-tile-img

既往歴

3年前から糖尿病
2年前から慢性心不全

head-tile-img

診察

血圧 120/80 mmHg
心拍数 72/min
足部浮腫を伴う肺うっ血
カリウム 4.2 mmol/L
クレアチニン 90 Umol/L
HbA1c 7.1%
BMI 22

head-tile-img

投薬

エナラプリル 10 mg 1日2回
ビソプロロール 10 mg 毎日
スピロノラクトン 25 mg 毎日
イバブラジン 5 mg 1日2回
ループ利尿薬
メトホルミン 500 mg 1日2回
エンパグリフロジン 10 mg 毎日

5
Use of NT-proBNP for hospitalized heart failure patients

Was the repeated NT-proBNP before discharge result useful?

クリックして回答を表示
Home/Education & CME/Dr David Sim’s Clinical Cases: NT-proBNP in Heart Failure Patients

Dr David Sim’s Clinical Cases: NT-proBNP in Heart Failure Patients

Clinical Cases
Cardiology CME/CE Webinar
Dr-Sim-Clinical-Cases-Cardio-ThinkLab
Dr David Sim Cardiologist, Heart Failure Program Director, National Heart Center Singapore; Immediate past president of Heart Failure Society (Singapore)
22 July 2021

Click on one of the 3 tabs below to switch between different type of heart failure patients

head-tile-img

53-Year old-Women

head-tile-img

Key signs and symptoms

Acute decompensated heart failure requiring admission
for intravenous diuretic – LVEF 25%

head-tile-img

Medical history

Diabetes mellitus for the last 3 years
Chronic heart failure for the last 2 years

head-tile-img

Clinical examination

BP 120/80 mmHg
Heart rate 72/min
Pulmonary congestion with pedal edema
Potassium 4.2 mmol/L
Creatinine 90 Umol/L,
HbA1c 7.1%
BMI-22

head-tile-img

Medications

Enalapril 10 mg bid
Bisoprolol 10 mg od
Spironolactone 25 mg od
Ivabradine 5 mg bid
Loop diuretic
Metformin 500 mg bid
Empagliflozin 10 mg od

5
Use of NT-proBNP for hospitalized heart failure patients

Was the repeated NT-proBNP before discharge result useful?

Click to reveal the answer
Home/Education & CME/David Sim 박사의 임상 사례: 심부전 환자들에서의 NT-proBNP 검사 실시

David Sim 박사의 임상 사례: 심부전 환자들에서의 NT-proBNP 검사 실시

교육 & CME
임상 사례
Dr-Sim-Clinical-Cases-Cardio-ThinkLab
Dr David Sim Cardiologist, Heart Failure Program Director, National Heart Center Singapore; Immediate past president of Heart Failure Society (Singapore)
22 July 2021

아래 3개의 탭 중 하나를 클릭하여 여러 유형의 심부전 환자 사례를 탐색합니다.

head-tile-img

53세 여성

head-tile-img

주요 징후 및 증상

정맥내 이뇨제 투여를 위해 입원해야 하는 급성
비대상성 심부전 – 좌심실박출률(left ventricular ejection fraction, LVEF) 25%

head-tile-img

병력

지난 3년간의 당뇨병 병력
지난 2년간의 만성 심부전 병력

head-tile-img

임상 검사

BP 120/80 mmHg
심박수 72/분
발 부종을 동반한 폐울혈
칼륨 4.2 mmol/L
크레아티닌 90 Umol/L,
HbA1c 7.1%
BMI-22

head-tile-img

약물

에날라프릴 10 mg bid
비소프로롤 10 mg od
스피로놀락톤 25 mg od
이바브라딘 5 mg bid
고리 이뇨제
메트포르민 500 mg bid
엠파글리플로진 10 mg od

5
Use of NT-proBNP for hospitalized heart failure patients

Was the repeated NT-proBNP before discharge result useful?

클릭하시면 답을 보실 수 있습니다

The information contained in Cardio ThinkLab is intended for healthcare professionals only.
Click "OK" if you are a healthcare professional.

OK

Want to receive the latest updates?