Interv Akut Kardiol 2012; 11(5-6): 216-218

Patient with severe heart failure on initial out-patient presentation; central role of echocardiography

Antonín Novák, Josef Jakabčin, Jiří Herman, Andrej Kupec, Marian Bystroň, Radim Špaček, Milena Kubičková, Martin Kvašňák, Pavel Červinka

Masarykova nemocnice, Kardiologická klinika, Ústí nad Labem, Krajská Zdravotní a.s, Univerzita J. E. Purkyně

Authors present two cases of patients who came to the hospital for the first out-patient examination with severe heart failure, dilatated

left ventricle and a very low ejection fraction. After the start of the therapy, the next diagnostic step was a coronary angiography. The

results of coronary the possibility of coronary revascularization (1). Echocardiography plays the central role in the next controls (2). In

case of resting heart rate is more than 70 per minute, ivabradine administration is indicated to established pharmacotherapy of the

heart failure (3, 4). The improvement of the ejection fraction helps the patients to improve quality of life and to work a part – time job (5).

Keywords: heart failure, echocardiography, ivabradine, quality of life

Published: December 1, 2012  Show citation