Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Department of Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Curr Cardiol Rep. 2021 Oct 1;23(11):159. doi: 10.1007/s11886-021-01588-y.
Heart failure has substantial effects on health-related quality of life. Maintaining or improving quality of life is an important goal of heart failure therapy, and many patients value better quality of life over greater longevity.
The symptoms and functional severity of heart failure, medical comorbidities, and depression are the strongest predictors of poor quality of life. Guideline-recommended medical and behavioral interventions for HF, including exercise training and cardiac rehabilitation, self-care interventions, and treatment of depression, can help to improve quality of life. Heart failure is, in most cases, a progressive condition with a poor prognosis. However, poor quality of life is not inevitable, and a variety of medical, surgical, and nonpharmacological interventions can help to maintain or improve quality of life in patients with heart failure.
心力衰竭对健康相关生活质量有重大影响。维持或改善生活质量是心力衰竭治疗的一个重要目标，许多患者更看重生活质量而非寿命长短。
心力衰竭的症状和功能严重程度、合并症和抑郁是生活质量差的最强预测因素。心衰指南推荐的医学和行为干预措施，包括运动训练和心脏康复、自我护理干预和抑郁治疗，可以帮助改善生活质量。心力衰竭在大多数情况下是一种进行性疾病，预后较差。然而，生活质量差并非不可避免，多种医学、手术和非药物干预措施有助于维持或改善心力衰竭患者的生活质量。
