Department of Epidemiology and Preventive Medicine, Alfred Hospital, Monash University, Melbourne, VIC 3004, Australia.
Heart. 2012 Jul;98(13):967-73. doi: 10.1136/heartjnl-2011-301330. Epub 2012 May 9.
Heart failure (HF) represents a major health and economic burden worldwide. In spite of best current therapy, HF progresses with unpredictable episodes of deterioration that often require hospitalisation. These episodes are often preceded by accumulation or redistribution of fluid causing haemodynamic overload on the heart. Remote and telemonitoring of the HF patient, assessing symptoms and signs, thoracic impedance derived fluid status follow-up or direct haemodynamic measurements with chronic implanted devices are presently under investigation for the potential to detect impending HF decompensation early. The current evidence for volume status monitoring in HF using those novel management strategies is reviewed.
心力衰竭（HF）是全球范围内的重大健康和经济负担。尽管采用了目前最佳的治疗方法，但 HF 仍会出现不可预测的恶化事件，这些恶化事件常常需要住院治疗。这些恶化事件通常是由于液体的积累或重新分布导致心脏血流动力学过载引起的。目前正在对 HF 患者的远程和远程监测、评估症状和体征、胸部阻抗衍生的液体状态随访或使用慢性植入设备进行直接血流动力学测量进行研究，以期尽早发现即将发生的 HF 失代偿。本文综述了使用这些新的管理策略监测 HF 容量状态的现有证据。
