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射血分数保留的心力衰竭专家小组报告:当前的争议和对临床试验的影响。

Heart Failure With Preserved Ejection Fraction Expert Panel Report: Current Controversies and Implications for Clinical Trials.

机构信息

Duke Clinical Research Institute, Durham, North Carolina; Duke University School of Medicine, Durham, North Carolina.

Johns Hopkins University, Baltimore, Maryland.

出版信息

JACC Heart Fail. 2018 Aug;6(8):619-632. doi: 10.1016/j.jchf.2018.06.008.

Abstract

The number of persons with heart failure has continued to rise over the last several years. Approximately one-half of those living with heart failure have heart failure with preserved ejection fraction, but critical unsolved questions remain across the spectrum of basic, translational, clinical, and population research in heart failure with preserved ejection fraction. In this study, the authors summarize existing knowledge, persistent controversies, and gaps in evidence with regard to the understanding of heart failure with preserved ejection fraction. Our analysis is based on an expert panel discussion "Think Tank" meeting that included representatives from academia, the National Institutes of Health, the U.S. Food and Drug Administration, the Centers for Medicare & Medicaid Services, and industry.

摘要

近年来,心力衰竭患者的数量持续上升。大约一半患有心力衰竭的患者存在射血分数保留的心力衰竭,但在射血分数保留的心力衰竭的基础、转化、临床和人群研究领域仍存在许多关键的未解决问题。在这项研究中,作者总结了目前对射血分数保留的心力衰竭的理解方面的现有知识、持续存在的争议和证据差距。我们的分析基于一个专家小组讨论“智囊团”会议,该会议包括来自学术界、美国国立卫生研究院、美国食品和药物管理局、医疗保险和医疗补助服务中心和行业的代表。

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