高血压性心力衰竭的诊断与防治。

Diagnosis and Prevention of Hypertensive Heart Failure.

机构信息

Division of Cardiology, Department of Medicine, Stony Brook University, Stony Brook University Medical Center, Health Sciences Center, 101 Nicolls Road, T-16, Rm 080, Stony Brook, NY 11794-8167, USA.

出版信息

Heart Fail Clin. 2019 Oct;15(4):435-445. doi: 10.1016/j.hfc.2019.05.001. Epub 2019 Jul 13.

DOI:10.1016/j.hfc.2019.05.001

PMID:31472879

Abstract

Elevated blood pressure (BP) has a strong and continuous association with Stage B and C heart failure (HF) and carries the highest attributable risk for HF. Intensive treatment of hypertension is crucial, as progression from hypertension (Stage A HF) to left ventricular hypertrophy (LVH) or other structural damage (Stage B HF) is common despite therapy. Echo cardiography is the modality of choice to detect Stage B HF. Ideally, Stage B HF should be prevented. However, regression of established LVH and other structural damage is feasible and improves prognosis. Despite differences among antihypertensive agents, control of BP remains the most important goal.

摘要

血压升高与 B 期和 C 期心力衰竭（HF）有强烈且持续的关联，并且是 HF 的最高可归因风险。尽管进行了治疗，但高血压（HF 阶段 A）向左心室肥厚（LVH）或其他结构损伤（HF 阶段 B）的进展很常见，因此强化高血压治疗至关重要。超声心动图是检测 B 期 HF 的首选方式。理想情况下，应预防 B 期 HF。然而，已经存在的 LVH 和其他结构损伤的消退是可行的，并可改善预后。尽管降压药物存在差异，但控制血压仍然是最重要的目标。