Int J Cardiol. 2010 Feb 4;138(3):311-3. doi: 10.1016/j.ijcard.2008.06.068. Epub 2008 Oct 9.
Heart failure with a preserved ejection fraction is more common in elderly. Common comorbidities may have an impact on management of heart failure with preserved ejection fraction. The prognosis in more recent studies has been shown to be essentially similar to heart failure with reduced ejection fraction. Unlike heart failure with reduced ejection fraction for which many medications have been demonstrated to improve morbidity and mortality, no treatment has yet been shown to reduce morbidity and mortality in heart failure with preserved ejection fraction. Therefore, current treatment recommendations are aimed at symptomatic management as well as management of concomitant comorbidities.
射血分数保留的心衰在老年人中更为常见。常见的合并症可能会对射血分数保留的心衰的管理产生影响。最近的研究表明,其预后与射血分数降低的心衰基本相似。与射血分数降低的心衰不同,许多药物已被证明可改善其发病率和死亡率,但尚无药物被证明可降低射血分数保留的心衰的发病率和死亡率。因此,目前的治疗建议旨在对症治疗以及合并症的管理。