Stokes Michael B, Sanders Prashanthan
Department of Cardiology, South Australian Health and Medical Research Institute, University of Adelaide, Royal Adelaide Hospital, Port Road, Adelaide, South Australia 5000, Australia.
Department of Cardiology, Centre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide, Royal Adelaide Hospital, Port Road, Adelaide, South Australia 5000, Australia.
Cardiol Clin. 2019 May;37(2):157-166. doi: 10.1016/j.ccl.2019.01.008.
Atrial fibrillation (AF) and heart failure (HF) pose international health care challenges that contribute significantly to hospitalizations, morbidity, mortality, and significant health care costs. Both AF and HF contribute to the development of each other and both are associated with a worsened prognosis when they occur together. Assessment of systolic function via transthoracic echocardiography is essential in the investigation of the AF patient. Clinical and echocardiographic assessment may classify AF patients with HF into HF with reduced ejection fraction (HF-rEF) and HF with preserved ejection fraction (HF-pEF). Such classification can assist in numerous important management decisions in AF.
心房颤动（AF）和心力衰竭（HF）给国际医疗保健带来了挑战，这些挑战对住院率、发病率、死亡率以及高昂的医疗保健成本都有显著影响。AF和HF相互促进发展，并且当它们同时出现时，都与预后恶化相关。通过经胸超声心动图评估收缩功能在房颤患者的检查中至关重要。临床和超声心动图评估可将合并HF的AF患者分为射血分数降低的心力衰竭（HF-rEF）和射血分数保留的心力衰竭（HF-pEF）。这种分类有助于房颤治疗中的许多重要管理决策。
