Kapelios Chris J, Shahim Bahira, Lund Lars H, Savarese Gianluigi
Department of Cardiovascular Medicine, University of Utah Health Sciences Center Salt Lake City, UT, US.
Unit of Cardiology, Department of Medicine, Karolinska Institutet, and Heart and Vascular Theme, Karolinska University Hospital Stockholm, Sweden.
Card Fail Rev. 2023 Nov 17;9:e14. doi: 10.15420/cfr.2023.03. eCollection 2023.
Heart failure (HF) is a global pandemic affecting 64 million people worldwide. HF with preserved ejection fraction (HFpEF) has traditionally received less attention than its main counterpart, HF with reduced ejection fraction (HFrEF). The incidence and prevalence of HFpEF show geographic variation and are increasing over time, soon expected to surpass those of HFrEF. Morbidity and mortality rates of HFpEF are considerable, albeit lower than those of HFrEF. This review focuses on the burden of HFpEF, providing contemporary data on epidemiology, clinical characteristics and comorbidities, cause-specific outcomes, costs and pharmacotherapy.
心力衰竭(HF)是一种全球性疾病,全球有6400万人受其影响。与射血分数降低的心力衰竭(HFrEF)这一主要类型相比,射血分数保留的心力衰竭(HFpEF)传统上受到的关注较少。HFpEF的发病率和患病率存在地域差异,且随时间推移不断上升,预计很快将超过HFrEF。HFpEF的发病率和死亡率相当可观,尽管低于HFrEF。本综述重点关注HFpEF的负担,提供有关流行病学、临床特征和合并症、特定病因结局、成本和药物治疗的当代数据。