Scientific Online Resource System

Varna Medical Forum

The challenge to manage a patient with advanced heart failure and necrotizing vasculitis - a clinical case

Mariya Stoyanova Dimova, Elena Marinova, Darina Zheliazkova, Krasimira Nenova, Liliya Stoyanova, Mariya Kosturkova

Abstract

Patients with advanced heart failure are patients with a lot of comorbidities that have important influence on the options of treatment - both for heart failure and the concomitant diseases. Here we present a 64-year-old man with mechanical aortic valve prosthesis, severe tricuspid regurgitation, severe pulmonary hypertension and total heart failure, diabetes mellitus type 2, peripheral artery disease and necrotizing vasculitis. The management of heart failure is according to the guidelines for the treatment of patients with heart failure of the European Society of Cardiology 2016; the treatment of the diabetes mellitus and the necrotizing vasculitis is also in accordance with the latest recommendations.

Keywords

heart failure, mechanical valve prosthesis, necrotizing vasculitis

Full Text


References

EHJ (2016) 37 (27):2129-2200 - https://doi.org/10.1093/eurheartj/ehw128

. Melanie J.Davies,David A.D’Alessio,Judith Fradkin, Walter N.Kernan Chantal Mathieu, Geltrude Mingrone, Peter Rossing, Apostolos Tsapas, Deborah J. Wexler,John B. Buse Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) Diabetes Care Sep 2018, dci180033;DOI:10.2337/dci18-0033

Silva-Perez LJ, Benitez-Lopez MA, Varon J, Surani S. Management of critically ill patients with diabetes. World Journal of Diabetes. 2017;8(3):89-96. doi:10.4239/wjd.v8.i3.89.

Blomstrom-Lundqvist C, Mazzanti A, Blom A, 2015 ESC Guidelines for the management

of patients with ventricular arrhythmias and the prevention of sudden cardiac death, European Heart Journal (2015)36, 2793–2867


Refbacks

Font Size


|