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Leitlinien zur Therapie der chronischen Herzinsuffizienz

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in Zusammenarbeit mit der Arzneimittelkommission der Deutschen Ärzteschaft

Herausgegeben vom Vorstand der Deutschen Gesellschaft für Kardiologie—Herz- und Kreislaufforschung e.V. Bearbeitet im Auftrag der Kommission für Klinische Kardiologie R. H. Strasser, D. Andresen, F. de Haan, G. Ertl, H. Mudra, A. Osterspey, H. J. Trappe, K. Werdan, außerdem G. Arnold, H. M. Hoffmeister, E. Fleck

Diese Leitlinie ist eine wissenschaftlich und systematisch erarbeitete Stellungnahme der Deutschen Gesellschaft für Kardiologie—Herz- und Kreislaufforschung e.V. (DGK), die den gegenwärtigen Erkenntnisstand zum Thema wiedergibt und allen behandelnden Ärzten und ihren Patienten die Entscheidungsfindung für eine angemessene Behandlung dieser spezifischen Krankheitssituation erleichtern soll. Diese Leitlinie ersetzt nicht die ärztliche Evaluation des individuellen Patienten und die Anpassung der Diagnostik und Therapie an die spezifische Situation des einzelnen Patienten.

Empfehlungsgrad Definition

I. Evidenz oder allgemeine Übereinkunft, dass eine Therapieform oder eine diagnostische Maßnahme effektiv, nützlich oder heilsam ist.

II. Widersprüchliche Evidenz und/oder unterschiedliche Meinungen über den Nutzen/die Effektivität einer Therapieform oder einer diagnostischen Maßnahme.

IIa. Evidenzen/Meinungen favorisieren den Nutzen bzw. die Effektivität einer Maßnahme.

IIb. Nutzen/Effektivität einer Maßnahme ist weniger gut durch Evidenzen/Meinungen belegt.

Evidenzniveau Definition

A. Die Empfehlung wird mindestens durch zwei randomisierte Studien gestützt.

B. Die Empfehlung wird durch eine randomisierte Studie und/oder eine Metaanalyse nicht-randomisierter Studien gestützt.

C. Konsensus-Meinung von Experten, basierend auf Studien und klinischer Erfahrung.

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Hoppe, U.C., Böhm, M., Dietz, R. et al. Leitlinien zur Therapie der chronischen Herzinsuffizienz. ZS Kardiologie 94, 488–509 (2005). https://doi.org/10.1007/s00392-005-0268-4

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