重症监护病房中的左心室舒张功能障碍：趋势与展望
Left ventricular diastolic dysfunction in the intensive care unit: trends and perspectives.
作者信息
Eisen Lewis Ari, Davlouros Pericles, Karakitsos Dimitrios
机构信息
Jay B. Langner Critical Care Service, Division of Critical Care Medicine, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA.
出版信息
Crit Care Res Pract. 2012;2012:964158. doi: 10.1155/2012/964158. Epub 2012 May 14.
Abstract
Heart failure with a normal or nearly normal left ventricular (LV) ejection fraction (HFNEF) may represent more than 50% of heart failure cases. Although HFNEF is being increasingly recognized, there is a relative lack of information regarding its incidence and prognostic implications in intensive care unit (ICU) patients. In the ICU, many factors related to patient's history, or applied therapies, may induce or aggravate LV diastolic dysfunction. This may impact on patients' morbidity and mortality. This paper discusses methods for assessing LV diastolic function and the feasibility of their implementation for diagnosing HFNEF in the ICU.
摘要
左心室射血分数正常或接近正常的心力衰竭（HFNEF）可能占心力衰竭病例的50%以上。尽管HFNEF越来越受到认可，但关于其在重症监护病房（ICU）患者中的发病率和预后影响的信息相对较少。在ICU中，许多与患者病史或应用治疗相关的因素可能诱发或加重左心室舒张功能障碍。这可能影响患者的发病率和死亡率。本文讨论了评估左心室舒张功能的方法及其在ICU中用于诊断HFNEF的可行性。
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