心力衰竭：优化门诊环境中的识别与管理

Heart Failure: Optimizing Recognition and Management in Outpatient Settings.

作者信息

Neubauer Brian E, Gray Jeffery T, Hemann Brian A

机构信息

Department of Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20889, USA; Department of Medicine, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889, USA.

Internal Medicine Residency, Department of Medicine, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600, USA.

出版信息

Prim Care. 2018 Mar;45(1):63-79. doi: 10.1016/j.pop.2017.11.004.

DOI:10.1016/j.pop.2017.11.004

PMID:29406945

Abstract

Heart failure represents a growing chronic medical condition with major implications on patient morbidity, mortality, and cost to health care systems. In this article, the heart failure syndrome is reviewed from a perspective of diagnosis and management, with updated therapeutic options reflected in major guidelines published since this topic was last reviewed in Primary Care Clinics in Office Practice in 2013. An emphasis is placed on the use of the American Heart Association/American College of Cardiology's staging system as a framework to improve early identification and treatment of patients at risk of symptomatic heart failure.

摘要

心力衰竭是一种日益常见的慢性疾病，对患者的发病率、死亡率以及医疗保健系统的成本都有重大影响。本文从诊断和管理的角度对心力衰竭综合征进行了综述，并反映了自2013年该主题上次在《初级保健诊所办公室实践》中进行综述以来主要指南中更新的治疗选择。重点强调了使用美国心脏协会/美国心脏病学会的分期系统作为框架，以改善对有症状心力衰竭风险患者的早期识别和治疗。