Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Duke Clinical Research Institute and Division of Cardiology, Duke University Medical Center, Durham, NC, USA.
Heart Fail Rev. 2018 Jul;23(4):597-607. doi: 10.1007/s10741-018-9697-9.
Heart failure is a complex disease process, the manifestation of various cardiac and noncardiac abnormalities. General treatment approaches for heart failure have remained the same over the past decades despite the advent of novel therapies and monitoring modalities. In the same vein, the readmission rates for heart failure patients remain high and portend a poor prognosis for morbidity and mortality. In this context, development and implementation of improved algorithms for assessing and treating HF patients during hospitalization remains an unmet need. We propose an expanded algorithm for both monitoring and treating patients admitted for acute decompensated heart failure with the goal to improve post-discharge outcomes and decrease rates of rehospitalizations.
心力衰竭是一种复杂的疾病过程，表现为各种心脏和非心脏异常。尽管出现了新的治疗方法和监测方式，但过去几十年来心力衰竭的一般治疗方法仍然保持不变。同样，心力衰竭患者的再入院率仍然很高，预示着发病率和死亡率的预后不佳。在这种情况下，开发和实施改进的算法来评估和治疗住院期间的心力衰竭患者仍然是一个未满足的需求。我们提出了一种扩展的算法，用于监测和治疗因急性失代偿性心力衰竭而入院的患者，以改善出院后结局并降低再入院率。
