Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California (M.M.K.).
Ann Intern Med. 2023 Dec;176(12):ITC177-ITC192. doi: 10.7326/AITC202312190. Epub 2023 Dec 12.
Heart failure affects more than 6 million people in the United States, and hospitalizations for decompensated heart failure confer a heavy toll in morbidity, mortality, and health care costs. Clinical trials have demonstrated effective interventions; however, hospitalization and mortality rates remain high. Key components of effective hospital care include appropriate diagnostic evaluation, triage and risk stratification, early implementation of guideline-directed medical therapy, adequate diuresis, and appropriate discharge planning.
心力衰竭影响了美国超过 600 万人，心力衰竭失代偿的住院治疗导致发病率、死亡率和医疗保健成本的沉重负担。临床试验已经证明了有效的干预措施；然而，住院率和死亡率仍然很高。有效的医院护理的关键组成部分包括适当的诊断评估、分诊和风险分层、早期实施指南指导的药物治疗、充分的利尿和适当的出院计划。
