Análisis del tratamiento de un paciente con insuficiencia cardíaca descompensada

Abstract

Heart failure is a pathology that represents a major problem worldwide among the adult population, it occurs when there is a condition in the heart which impairs the ability to fill or empty properly triggering a series of symptoms in the body. In this research the clinical case of a 62 year old obese patient with a history of moderate COPD, hypercholesterolemia, HTA who later attends a medical appointment where he is diagnosed with Heart Failure functional grade I was approached. The objective of this case was to analyze the pharmacological treatment of a patient with decompensated heart failure. For this purpose, a bibliographic research was carried out using articles, manuals and high impact pharmacological therapeutic guides in order to propose strategies to improve treatment adherence and find effective options to help optimize health status. New pharmacological alternatives were suggested, such as Tiotropium for COPD and furosemide used as a diuretic to reduce fluid retention associated with cardiovascular decompensation due to lack of adherence to treatment. To conclude, it was determined that the pharmacological treatment was not exerting its desired therapeutic effect due to lack of adherence to treatment, which is why measures and recommendations were proposed in order to help obtain a better result in the comorbidities that most affected the patient analyzed.