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射血分数保留的心力衰竭的新诊断视角:超越射血分数的收缩功能

New diagnostic perspectives on heart failure with preserved ejection fraction: systolic function beyond ejection fraction.

作者信息

Todaro Maria Chiara, Khandheria Bijoy K, Longobardo Luca, Zito Concetta, Cusmà-Piccione Maurizio, Di Bella Gianluca, Oreto Lilia, Mohammed Moemen, Oreto Giuseppe, Carerj Scipione

机构信息

aClinical and Experimental Department of Medicine and Pharmacology, University of Messina, Messina, Italy bAurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin, USA.

出版信息

J Cardiovasc Med (Hagerstown). 2015 Aug;16(8):527-37. doi: 10.2459/JCM.0000000000000199.

DOI:10.2459/JCM.0000000000000199
PMID:25469729
Abstract

Although preserved ejection fraction is found in more than 50% of patients with heart failure, its acceptance as a specific clinical entity is limited. More understanding of the physiopathology, early diagnosis and medical management is needed. With no existing systematic information in the literature, the aim of this review is to provide a comprehensive overview of the new imaging techniques for diagnosing heart failure with preserved ejection fraction, particularly in the early stages of the disease, underlying the pivotal role of new technologies such as two-dimensional speckle tracking echocardiography and vascular stiffness.

摘要

尽管超过50%的心力衰竭患者射血分数正常,但它作为一种特定临床实体的认可度有限。我们需要对其病理生理学、早期诊断和药物治疗有更多了解。鉴于文献中尚无系统信息,本综述旨在全面概述用于诊断射血分数正常的心力衰竭的新成像技术,特别是在疾病早期阶段,强调二维斑点追踪超声心动图和血管僵硬度等新技术的关键作用。

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