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Kronisk hjertesvikt

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
Klinisk symptomkompleks som en følge av at hjertets minuttvolum er for lavt til å dekke kroppens behov. Oftest en komplikasjon til koronar hjertesykdom eller hypertensjon.
Forekomst:
Forekomst øker med alder. Prevalens over 10 % ved alder > 75 år
Symptomer:
Hovedsymptomene er tung pust ved anstrengelse og økt trettbarhet. Økende plager ved økende grad av svikt.
Funn:
Ved u.s.: Lateralt forskjøvet apex, halsvenestuvning, deklive ødemer, galopprytme. Ev. takypne, blek, slapp.
Diagnostikk:
Blodprøver med tanke på utløsende årsaker. NT-proBNP forhøyet. EKG patologisk. Ekkokardiografi er diagnostisk.
Behandling:
Behandles med livsstilstiltak, legemidler og ev. korreksjon av utløsende årsak. Valg av legemidler bestemmes av venstre ventrikkel ejeksjonsfraksjon. 
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  • Bjørnar Grenne, PhD, Overlege, Klinikk for hjertemedisin, St. Olavs Hospital, Trondheim
  • Ingard Løge, spesialist i allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Stein Samstad, spesialist i kardiologi, overlege Medisinsk avdeling, Regionsykehuset i Trondheim
  • Jørund Straand, spesialist i allmennmedisin og førsteamanuensis dr. med., Seksjon for allmennmedisin, Universitetet i Oslo