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在射血分数降低的心力衰竭且心力衰竭恶化事件在出院前的老年住院患者中,是否应该起始维立西呱的治疗?

Should vericiguat be initiated in geriatric inpatients with heart failure with reduced ejection fraction and a worsening heart failure event prior to discharge?

机构信息

Hospital Pharmacy, UZ Leuven, Leuven, Flemish Brabant, Belgium.

Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Flemish Brabant, Belgium.

出版信息

Eur J Hosp Pharm. 2023 Nov;30(6):367-369. doi: 10.1136/ejhpharm-2022-003305. Epub 2022 May 19.

Abstract

Heart failure (HF) occurs predominantly in older adults. HF patients have an increased risk for an acute exacerbation, which commonly requires hospitalisation. Such a worsening HF (WHF) event has an impact on prognosis. Vericiguat is a novel agent which has been shown to reduce the HF hospitalisation risk in patients with a recent WHF event. It is not fully clear how to position this novel agent in geriatric HF inpatients.

摘要

心力衰竭(HF)主要发生在老年人中。HF 患者急性加重的风险增加,通常需要住院治疗。这种恶化的 HF(WHF)事件对预后有影响。维立西呱是一种新型药物,已被证明可降低近期 WHF 事件患者的 HF 住院风险。目前尚不完全清楚如何在老年 HF 住院患者中定位这种新型药物。

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