Jumean Marwan F, Kiernan Michael S
CardioVascular Center, Tufts Medical Center, Boston, MA, USA,
Curr Heart Fail Rep. 2014 Jun;11(2):201-11. doi: 10.1007/s11897-014-0190-z.
Heart failure constitutes a major public health concern in the United States and is one of the leading causes of hospitalization, readmission, and death. Due to an aging U.S. population, it is estimated that the prevalence of heart failure will increase by 25% over the coming decades, affecting approximately 3.5% of the population by the year 2030. The ability to discriminate patients admitted with acute heart failure syndromes who are at increased risk for poor post-hospitalization outcomes is thus critical to guide therapeutic decision making for healthcare providers. This review paper will discuss clinical, hemodynamic, as well as biochemical markers that have been demonstrated to predict post-discharge outcomes among patients hospitalized with acute heart failure.
心力衰竭是美国主要的公共卫生问题之一,也是住院、再入院和死亡的主要原因之一。由于美国人口老龄化,据估计,未来几十年心力衰竭的患病率将增加25%,到2030年将影响约3.5%的人口。因此,鉴别急性心力衰竭综合征入院患者中住院后不良结局风险增加的能力,对于指导医疗服务提供者的治疗决策至关重要。本文综述将讨论已被证明可预测急性心力衰竭住院患者出院后结局的临床、血流动力学和生化标志物。