Lepage Serge
Cardiology Division, Faculty of Medicine, University of Sherbrooke, Sherbrooke, Quebec.
Can J Cardiol. 2008 Jul;24 Suppl B(Suppl B):6B-8B. doi: 10.1016/s0828-282x(08)71022-5.
Acute decompensated heart failure is the most common cause of hospitalization for patients older than 65 years of age. Although treatment of this condition has improved over the past two decades, the specific approach to patients in the acute setting has not evolved in the same way. A patient facing acute decompensation is experiencing a serious medical condition that is associated with a poor prognosis. In addition, acute decompensated heart failure results in significant costs to the health care system. Significant morbidity and mortality are associated with patients who are readmitted within a year of the first hospitalization. Because of this important problem, further research on improving the prognosis for this condition is warranted. The present article will focus on the risk factors associated with acute decompensation and the importance of this condition, both on prognosis and economics.
急性失代偿性心力衰竭是65岁以上患者住院治疗的最常见原因。尽管在过去二十年中这种疾病的治疗有所改善，但针对急性发病患者的具体治疗方法却没有以同样的方式发展。面临急性失代偿的患者正经历着一种严重的疾病，且预后不良。此外，急性失代偿性心力衰竭给医疗保健系统带来了巨大成本。首次住院后一年内再次入院的患者存在显著的发病率和死亡率。由于这个重要问题，有必要进一步研究改善这种疾病的预后。本文将重点关注与急性失代偿相关的危险因素以及这种疾病在预后和经济方面的重要性。
