评估 HFPEF 评分和 HFA-PEFF 步 E 评分在诊断射血分数保留心力衰竭中的价值。
Evaluation the value of HFPEF score and HFA-PEFF step E score in the diagnosis of heart failure with preserved ejection fraction.
机构信息
Department of Geriatrics, Fujian Key Laboratory of Vascular Aging (Fujian Medical University), Fujian Institute of Geriatrics, Fuzhou, Fujian, China.
Department of Cardiology, Fujian Heart Disease Center, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
出版信息
Acta Cardiol. 2023 Sep;78(7):790-795. doi: 10.1080/00015385.2023.2221149. Epub 2023 Jun 15.
BACKGROUND
Clinical diagnosis of heart failure with preserved ejection fraction (HFpEF) remains challenging. The aim of the study is to evaluate the value of the HFPEF score and HFA-PEFF step E score in the diagnosis of HFpEF.
METHODS
319 hospitalised patients with 'shortness of breath' or 'dyspnoea' were retrospectively collected and scored with the above two scores, respectively. They were divided into HFpEF group and non-HFpEF group in the study.
RESULTS
Both the negative and positive predictive value of HFPEF score and HFA-PEFF Step E score were 95.52%, 96.83% and 98.28%, 93.63%, respectively. However, there were 189 (59.25%) and 104 (32.60%) cases could not be diagnosed or excluded in the HFPEF score and the HFA-PEFF step E score, respectively.
CONCLUSIONS
Both scores of the HFPEF and the HFA-PEFF step E may be used to effectively rule out or confirm HFpEF according to the score point. However, there are three fifths and one third patients in the HFPEF score and the HFA-PEFF step E score, respectively, in the intermediate scores who are needed further invasive catheterisation or exercise stress tests.
背景
心力衰竭伴射血分数保留（HFpEF）的临床诊断仍然具有挑战性。本研究旨在评估 HFPEF 评分和 HFA-PEFF 步骤 E 评分在 HFpEF 诊断中的价值。
方法
回顾性收集了 319 例因“呼吸困难”或“呼吸急促”住院的患者，分别用上述两种评分进行评分。在研究中，他们被分为 HFpEF 组和非 HFpEF 组。
结果
HFPEF 评分和 HFA-PEFF 步骤 E 评分的阴性预测值和阳性预测值分别为 95.52%、96.83%和 98.28%、93.63%。然而，HFPEF 评分和 HFA-PEFF 步骤 E 评分分别有 189 例（59.25%）和 104 例（32.60%）无法诊断或排除。
结论
HFPEF 和 HFA-PEFF 步骤 E 的评分都可以根据得分点有效地排除或确认 HFpEF。然而，HFPEF 评分和 HFA-PEFF 步骤 E 评分的中间得分患者中，分别有五分之三（59.25%）和三分之一（32.60%）需要进一步进行有创导管检查或运动应激试验。
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