心血管藥物臨床應用指導原則(征求意見稿)

1、1心血管藥物臨床應用指導原則心血管藥物臨床應用指導原則（征求意（征求意見稿）稿）目錄前言............................................................................5第一章第一章心血管藥物臨床應用的基本原則心血管藥物臨床應用的基本原則.............................................6一、嚴格掌握心血管藥物治療的適應證..

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

3、.....................7五、監測心血管藥的不良反應.....................................................8第二章第二章心血管藥物臨床應用的管理心血管藥物臨床應用的管理.................................................9一、管理要求.............................................

4、.....................10二、落實與督查................................................................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證、應證、禁忌證和注意事項忌證和注意事項................................12一、血管緊張素轉換酶抑制劑.................................

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）原發性

9、高血壓..........................................................61（二）繼發性高血壓..........................................................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）心動過速..............

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

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）穩定性心絞痛..........................................................72（二）急性冠狀動脈綜合征.......................................

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）二尖瓣關閉不全........................................................80（三）主動脈瓣狹窄.....

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

17、......................................83（七）肺動脈瓣狹窄..........................................................84（八）肺動脈瓣關閉不全......................................................84（九）聯合瓣膜病....................................