Division of Cardiology, University of Florida, Gainesville, Florida.
Division of Cardiology, Baylor College of Medicine, Houston, Texas.
J Am Coll Cardiol. 2018 Nov 6;72(19):2391-2405. doi: 10.1016/j.jacc.2018.08.2160.
Continued improvement in medical and device therapy for heart failure (HF) has led to better survival with this disease. Longer survival and increasing numbers of unhealthy lifestyle factors and behaviors leading to occurrence of HF at younger ages are both contributors to an increase in the overall prevalence of HF. Clinicians treating this complex disease tend to focus on pharmacological and device therapies, but often fail to capitalize on the significant opportunities to prevent or treat HF through lifestyle modification. Herein, the authors review the evidence behind weight management, exercise, nutrition, dietary composition, supplements, and mindfulness and their potential to influence the epidemiology, pathophysiology, etiology, and management of stage A HF.
心力衰竭（HF）的医学和器械治疗不断改进，使该病的存活率提高。存活时间延长，以及导致更年轻人群发生 HF 的不健康生活方式因素和行为不断增多，这两个因素都导致 HF 的总体患病率增加。治疗这种复杂疾病的临床医生往往专注于药物和器械治疗，但往往未能充分利用通过生活方式改变来预防或治疗 HF 的重要机会。在此，作者回顾了体重管理、运动、营养、饮食成分、补充剂和正念背后的证据，以及它们对 A 期 HF 的流行病学、病理生理学、病因学和管理的潜在影响。
