Kanwar Manreet, Walter Claire, Clarke Megan, Patarroyo-Aponte Maria
Department of Cardiology, Allegheny General Hospital, Pittsburgh, PA, USA.
Vasc Health Risk Manag. 2016 Apr 15;12:129-41. doi: 10.2147/VHRM.S83662. eCollection 2016.
Heart failure with preserved ejection fraction (HFpEF) portrays a significant burden in terms of prevalence, morbidity, mortality, and health care costs. There is a lack of consensus on the basic pathophysiology, definition, and therapeutic targets for therapy for this syndrome. To date, there are no approved therapies available for reducing mortality or hospitalization for these patients. Several clinical trials have recently started to try and bridge this major gap. There is an urgent need to focus on drug and device development for HFpEF as well as to understand HFpEF pathophysiology.
射血分数保留的心力衰竭(HFpEF)在患病率、发病率、死亡率和医疗保健成本方面构成了重大负担。对于该综合征的基本病理生理学、定义和治疗靶点,目前尚无共识。迄今为止,尚无获批的疗法可降低这些患者的死亡率或住院率。最近,几项临床试验已开始尝试填补这一重大空白。迫切需要专注于HFpEF的药物和器械研发,并了解HFpEF的病理生理学。