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射血分数保留的心力衰竭的流行病学

Epidemiology of heart failure with preserved ejection fraction.

作者信息

Andersson Charlotte, Vasan Ramachandran S

机构信息

Framingham Heart Study, Mt Wayte Avenue 73, Suite 2, Framingham, MA 01702-5827, USA; Section of Preventive Medicine and Epidemiology, Boston University School of Medicine, 801 Massachusetts Avenue, Suite 470, Boston, MA 02118, USA; Department of Cardiology, Gentofte Hospital, Niels Andersens vej 65, Hellerup 2900, Denmark.

Framingham Heart Study, Mt Wayte Avenue 73, Suite 2, Framingham, MA 01702-5827, USA; Section of Preventive Medicine and Epidemiology, Boston University School of Medicine, 801 Massachusetts Avenue, Suite 470, Boston, MA 02118, USA; Section of Cardiology, Boston University School of Medicine, 801 Massachussetts Avenue, Suite 470, Boston, MA 02118, USA.

出版信息

Heart Fail Clin. 2014 Jul;10(3):377-88. doi: 10.1016/j.hfc.2014.04.003.

DOI:10.1016/j.hfc.2014.04.003
PMID:24975902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4084609/
Abstract

Heart failure with preserved ejection fraction (HFPEF) is a common condition, and the prevalence is projected to increase further. Studies differ in the reported incidence and mortality associated with this condition, although there is agreement that between a third and one-half of all patients with heart failure have HFPEF. Although several consensus statements and guidelines have been published, some recent randomized clinical trials have reported low mortality, raising doubts about whether all patients diagnosed with HFPEF have HFPEF or whether the condition is heterogeneous in its cause and prognosis. The overall reported prognosis of patients with HFPEF remains poor.

摘要

射血分数保留的心力衰竭(HFpEF)是一种常见病症,预计患病率还会进一步上升。尽管大家一致认为所有心力衰竭患者中有三分之一到一半患有HFpEF,但不同研究报告的与该病症相关的发病率和死亡率有所不同。虽然已经发表了几份共识声明和指南,但最近一些随机临床试验报告的死亡率较低,这引发了人们对所有被诊断为HFpEF的患者是否真的患有HFpEF,或者该病症在病因和预后方面是否存在异质性的质疑。总体而言,报告的HFpEF患者预后仍然很差。

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本文引用的文献

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Am J Cardiol. 2014 Jan 1;113(1):117-22. doi: 10.1016/j.amjcard.2013.09.028. Epub 2013 Oct 4.
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