Papadimitriou Lampros, Hamo Carine E, Butler Javed
Division of Cardiology, Stony Brook Medicine, Health Sciences Center T-16, Room 080, Stony Brook, NY, 11794, USA.
Handb Exp Pharmacol. 2017;243:109-129. doi: 10.1007/164_2017_24.
Heart Failure (HF) is a serious emerging Public Health issue mainly in the high-income countries. In the USA, more than 6 million adults are affected. Despite the latest advances in device and pharmacological therapeutics, it still carries a huge burden, partially reflected in the annual healthcare cost of approximately $30 billion (2012) and the 5 year mortality rate of 50%. In this article, we review the medications, proven to significantly reduce mortality and morbidity in HF patients with structural myocardial disease and past or current symptoms, based on the latest North American HF guidelines. We, finally, perform a brief comparison between the former recommendations and the published 2016 HF guidelines by European Society of Cardiology.
心力衰竭(HF)主要在高收入国家中是一个严重且日益凸显的公共卫生问题。在美国,超过600万成年人受到影响。尽管在器械和药物治疗方面取得了最新进展,但它仍然带来巨大负担,部分体现在每年约300亿美元(2012年)的医疗保健成本以及50%的5年死亡率上。在本文中,我们根据最新的北美心力衰竭指南,回顾了已被证明能显著降低患有结构性心肌病且有既往或当前症状的心力衰竭患者死亡率和发病率的药物。最后,我们对先前的建议与欧洲心脏病学会2016年发布的心力衰竭指南进行简要比较。