Chiang Chern-En, Hung Chung-Lieh, Wu Yen-Wen, Lin Tsung-Hsien, Ueng Kwo-Chang, Sung Shih-Hsien, Wu Cho-Kai, Chao Ting-Hsing, Lin Hung-Ju, Lin Yen-Hung, Huang Jin-Long, Chen Michael Yu Chih, Lin Po-Lin, Chao Tze-Fan, Cheng Hao-Min, Liu Ming-En, Wang Tzung-Dau, Yeh Hung-I, Li Yi-Heng, Liu Ping-Yen, Yin Wei-Hsian, Hsieh I-Chang, Wang Chun-Chieh, Chen Chen-Huan, Chu Pao-Hsien, Lin Shing-Jong, Yeh San-Jou, Lin Jiunn-Lee, Hwang Juey-Jen, Hung Huei-Fong, Chen Wen-Jone, Hou Charles Jia-Yin
General Clinical Research Center.
Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Acta Cardiol Sin. 2023 May;39(3):361-390. doi: 10.6515/ACS.202305_39(3).20230301A.
The prevalence of heart failure is increasing, causing a tremendous burden on health care systems around the world. Although mortality rate of heart failure has been significantly reduced by several effective agents in the past 3 decades, yet it remains high in observational studies. More recently, several new classes of drugs emerged with significant efficacy in reducing mortality and hospitalization in chronic heart failure with reduced ejection fraction (HFrEF) and preserved ejection fraction (HFpEF). To integrate these effective therapies and prioritize them in the management of Asian patients, Taiwan Society of Cardiology has recently appointed a working group to formulate a consensus of pharmacological treatment in patients with chronic heart failure. Based on most updated information, this consensus provides rationales for prioritization, rapid sequencing, and in-hospital initiation of both foundational and additional therapies for patients with chronic heart failure.
心力衰竭的患病率正在上升,给全球医疗保健系统带来了巨大负担。尽管在过去30年中,几种有效药物已显著降低了心力衰竭的死亡率,但在观察性研究中,其死亡率仍然很高。最近,几类新型药物在降低射血分数降低的慢性心力衰竭(HFrEF)和射血分数保留的心力衰竭(HFpEF)患者的死亡率和住院率方面显示出显著疗效。为了整合这些有效治疗方法并在亚洲患者的管理中对其进行优先排序,台湾心脏病学会最近任命了一个工作组,以制定慢性心力衰竭患者药物治疗的共识。基于最新信息,该共识为慢性心力衰竭患者基础治疗和附加治疗的优先排序、快速序贯治疗及住院起始治疗提供了理论依据。