心血管藥物臨床應(yīng)用指導(dǎo)原則(征求意見(jiàn)稿)

1、1心血管藥物臨床應(yīng)用指導(dǎo)原則心血管藥物臨床應(yīng)用指導(dǎo)原則（征求意（征求意見(jiàn)稿）稿）目錄前言............................................................................5第一章第一章心血管藥物臨床應(yīng)用的基本原則心血管藥物臨床應(yīng)用的基本原則.............................................6一、嚴(yán)格掌握心血管藥物治療的適應(yīng)證..

2、...........................................6二、合理制訂心血管藥物治療方案.................................................6三、加強(qiáng)疾病管理，提高患者依從性...............................................7四、重視疾病的綜合治療....................................

3、.....................7五、監(jiān)測(cè)心血管藥的不良反應(yīng).....................................................8第二章第二章心血管藥物臨床應(yīng)用的管理心血管藥物臨床應(yīng)用的管理.................................................9一、管理要求.............................................

4、.....................10二、落實(shí)與督查................................................................11第三章第三章各類心血管藥物的各類心血管藥物的適應(yīng)證、應(yīng)證、禁忌證和注意事項(xiàng)忌證和注意事項(xiàng)................................12一、血管緊張素轉(zhuǎn)換酶抑制劑.................................

5、...................12二、血管緊張素Ⅱ受體拮抗劑（ARB）.............................................14三、鈣離子拮抗劑..............................................................15（一）二氫吡啶類......................................................

6、......15（二）非二氫吡啶類..........................................................16（三）鈣拮抗劑注射液........................................................17四、β受體阻滯劑..............................................................17五、α

7、受體阻滯劑..............................................................19六、調(diào)脂藥....................................................................19（一）他汀類................................................................19（二）貝

8、特類................................................................21（三）煙酸..................................................................22（四）樹脂類................................................................233（一）原發(fā)性

9、高血壓..........................................................61（二）繼發(fā)性高血壓..........................................................62（三）高血壓急癥............................................................64（四）老年高血壓..........

10、..................................................64二、心律失常..................................................................65（一）早搏..................................................................65（二）心動(dòng)過(guò)速..............

11、................................................66（三）顫動(dòng)與撲動(dòng)............................................................68心室顫動(dòng)..................................................................68心房顫動(dòng)........................

12、..........................................68三、心力衰竭..................................................................69（一）慢性心力衰竭..........................................................69（二）急性左心衰竭或慢性心力衰竭急性加重.............

13、.......................71四、冠心病....................................................................72（一）穩(wěn)定性心絞痛..........................................................72（二）急性冠狀動(dòng)脈綜合征.......................................

14、.............73急性ST段抬高型心肌梗死...................................................73非ST段抬高型急性冠狀動(dòng)脈綜合征...........................................75五、血脂異常..................................................................76六、心臟瓣

15、膜病................................................................79（一）二尖瓣狹窄............................................................79（二）二尖瓣關(guān)閉不全........................................................80（三）主動(dòng)脈瓣狹窄.....

16、.....................................................81（四）主動(dòng)脈瓣關(guān)閉不全......................................................82（五）三尖瓣狹窄............................................................83（六）三尖瓣關(guān)閉不全..................

17、......................................83（七）肺動(dòng)脈瓣狹窄..........................................................84（八）肺動(dòng)脈瓣關(guān)閉不全......................................................84（九）聯(lián)合瓣膜病....................................