射血分数保留的心力衰竭的诊断

Diagnosis of heart failure with preserved ejection fraction.

作者信息

Wachter Rolf, Edelmann Frank

机构信息

Clinic for Cardiology and Pneumology, DZHK (German Center for Cardiovascular Research), University of Göttingen, Göttingen, Germany.

出版信息

Heart Fail Clin. 2014 Jul;10(3):399-406. doi: 10.1016/j.hfc.2014.04.010.

DOI:10.1016/j.hfc.2014.04.010

PMID:24975904

Abstract

Heart failure with preserved ejection fraction (HFpEF) constitutes a growing health care burden worldwide. Although definitions vary somewhat among guidelines, in general the presence of typical heart failure symptoms and signs in combination with a preserved left ventricular ejection fraction (≥50%) and functional and/or structural left ventricular changes makes the diagnosis likely. This review focuses on the current understanding of diagnostic criteria, as presented in current guidelines and consensus recommendations, and on new insights from recent papers. The role of comorbidities that often contribute to symptoms and hamper the HFpEF diagnostics is also reviewed.

摘要

射血分数保留的心力衰竭（HFpEF）在全球范围内构成了日益沉重的医疗负担。尽管不同指南中的定义略有差异，但一般来说，典型的心力衰竭症状和体征，再加上保留的左心室射血分数（≥50%）以及左心室功能和/或结构改变，就有可能做出诊断。本综述聚焦于当前指南和共识推荐中所呈现的对诊断标准的理解，以及近期论文中的新见解。同时也对常常导致症状并妨碍HFpEF诊断的合并症的作用进行了综述。