{"id":461600,"date":"2026-02-14T12:30:00","date_gmt":"2026-02-14T11:30:00","guid":{"rendered":"https:\/\/medizinonline.com\/standard-etabli-au-hfref-avec-des-nuances-individuelles\/"},"modified":"2026-02-13T22:36:45","modified_gmt":"2026-02-13T21:36:45","slug":"standard-etabli-au-hfref-avec-des-nuances-individuelles","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/standard-etabli-au-hfref-avec-des-nuances-individuelles\/","title":{"rendered":"Standard \u00e9tabli au HFrEF avec des nuances individuelles"},"content":{"rendered":"\n<p><strong>Le traitement moderne de l&#8217;insuffisance cardiaque se caract\u00e9rise par une intervention pr\u00e9coce, une prise en charge multidimensionnelle et des options th\u00e9rapeutiques \u00e9largies. Environ la moiti\u00e9 des patients souffrant d&#8217;insuffisance cardiaque pr\u00e9sentent une fraction d&#8217;\u00e9jection ventriculaire gauche r\u00e9duite. En ce qui concerne le traitement m\u00e9dicamenteux, il existe, selon les directives de l&#8217;ESC, quatre classes de m\u00e9dicaments recommand\u00e9es par d\u00e9faut qui doivent \u00eatre utilis\u00e9es pr\u00e9cocement en cas d&#8217;HFrEF, car elles sont particuli\u00e8rement importantes pour r\u00e9duire la morbidit\u00e9 et la mortalit\u00e9. Les inhibiteurs du SGLT-2 sont d\u00e9sormais recommand\u00e9s \u00e0 la fois pour l&#8217;HFrEF, l&#8217;HFmrEF et l&#8217;HFpEF.     <\/strong><\/p>\n\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/fr\/mon-compte\/paquets\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/fr\/se-connecter\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Ffr%2Fstandard-etabli-au-hfref-avec-des-nuances-individuelles%2F\">Connectez-vous ici<\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Le traitement moderne de l&#8217;insuffisance cardiaque se caract\u00e9rise par une intervention pr\u00e9coce, une prise en charge multidimensionnelle et des options th\u00e9rapeutiques \u00e9largies. Environ la moiti\u00e9 des patients souffrant d&#8217;insuffisance cardiaque&#8230;&hellip;... <\/p>\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/fr\/mon-compte\/paquets\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/fr\/se-connecter\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Ffr%2Fstandard-etabli-au-hfref-avec-des-nuances-individuelles%2F\">Connectez-vous ici<\/a><\/div><\/div><\/div>","protected":false},"author":7,"featured_media":461601,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Insuffisance cardiaque : une combinaison de quatre traitements comme \"Guideline-Directed Medical Therapy","footnotes":""},"category":[11378,11527,11315,11434,11535,11549],"tags":[70042,23397,29569,68405,14495,14498,88427,23393,23544,4157,88429,68411,88428,64852],"powerkit_post_featured":[],"class_list":["post-461600","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cardiologie","category-etudes","category-medecine-interne-generale","category-nephrologie-fr","category-rapports-de-congres","category-rx-fr","tag-antagoniste-des-recepteurs-mineralocorticoides","tag-arni-fr","tag-beta-bloquant","tag-combinaison-a-quatre","tag-hfmref-fr","tag-hfref-fr","tag-inhibiteur-du-recepteur-de-langiotensine-et-de-la-neprilysine","tag-inhibiteurs-de-leca","tag-inhibiteurs-de-sglt2","tag-insuffisance-cardiaque","tag-antagoniste-des-recepteurs-mineralocorticoides-2","tag-mra-fr","tag-therapie-medicale-dirigee-guideline","tag-valvulopathie","pmpro-level-required","pmpro-level-1","pmpro-no-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-14 00:48:12","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":461618,"slug":"uno-standard-consolidato-presso-hfref-con-sfumature-individuali","post_title":"Uno standard consolidato presso HFrEF con sfumature individuali.","href":"https:\/\/medizinonline.com\/it\/uno-standard-consolidato-presso-hfref-con-sfumature-individuali\/"},"pt_PT":{"locale":"pt_PT","id":461597,"slug":"padrao-estabelecido-no-hfref-com-nuances-individuais","post_title":"Padr\u00e3o estabelecido no HFrEF com nuances individuais","href":"https:\/\/medizinonline.com\/pt-pt\/padrao-estabelecido-no-hfref-com-nuances-individuais\/"},"es_ES":{"locale":"es_ES","id":461564,"slug":"norma-establecida-en-hfref-con-matices-individuales","post_title":"Norma establecida en HFrEF con matices individuales","href":"https:\/\/medizinonline.com\/es\/norma-establecida-en-hfref-con-matices-individuales\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/461600","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=461600"}],"version-history":[{"count":1,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/461600\/revisions"}],"predecessor-version":[{"id":461602,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/461600\/revisions\/461602"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media\/461601"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=461600"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=461600"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=461600"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=461600"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}