高血压与心力衰竭：预防、目标及治疗

Hypertension and Heart Failure: Prevention, Targets, and Treatment.

作者信息

Di Palo Katherine E, Barone Nicholas J

机构信息

Office of the Medical Director, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA.

出版信息

Cardiol Clin. 2022 May;40(2):237-244. doi: 10.1016/j.ccl.2021.12.011.

DOI:10.1016/j.ccl.2021.12.011

PMID:35465897

Abstract

Hypertension is possibly the most powerful, modifiable risk factor for the development of heart failure. Chronic hypertension drives cardiac remodeling within the left ventricle resulting in hypertensive heart disease, which ultimately manifests as heart failure. Early detection and appropriate management are necessary to prevent heart failure as well as other cardiovascular diseases. Achieving blood pressure goals in conjunction with using evidence-based treatments can improve clinical outcomes for patients with comorbid hypertension and heart failure.

摘要

高血压可能是导致心力衰竭最有力且可改变的风险因素。慢性高血压会促使左心室内的心脏重塑，进而引发高血压性心脏病，最终表现为心力衰竭。早期检测和恰当管理对于预防心力衰竭以及其他心血管疾病至关重要。结合使用循证治疗方法实现血压目标，可改善合并高血压和心力衰竭患者的临床结局。