Prof. Jose Luis Lopez-Sendon,
Two clinical cases were presented and discussed with the audience.
The first patient, presented by Marco Metra (Brescia, IT), was a 66 year old man with chronic ischemic heart failure acutely decompensated presenting several episodes of acute pulmonary oedema. The patient had a previous history of myocardial infarction (various episodes) with multiple revascularisation procedures. The discussion focused mostly on the need for mechanical LV assist support and mitral valve surgery, as severe mitral valve regurgitation was identified. The second case, presented by Alex Mebazaa was an 86 year old man with chronic heart failure admitted to the hospital with dyspnoea and hypotension. As the patient auscultation and chest X Ray were normal, the discussion focused on identifying possible reasons for his hypotension and low cardiac output; pulmonary embolism was evoked as the possible cause for the symptoms. The heart failure guidelines were reviewed at the end of the session, focusing on the main problems in both patients:
Management of acute heart failure
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