Division of Cardiology, University of Kentucky, Lexington, Kentucky, USA.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
JACC Heart Fail. 2024 Jul;12(7):1141-1156. doi: 10.1016/j.jchf.2024.03.020.
Heart failure is a clinical syndrome characterized by the inability of the heart to meet the circulatory demands of the body without requiring an increase in intracardiac pressures at rest or with exertion. Hemodynamic parameters can be measured via right heart catheterization, which has an integral role in the full spectrum of heart failure: from ambulatory patients to those in cardiogenic shock, as well as patients being considered for left ventricular device therapy and heart transplantation. Hemodynamic data are critical for prompt recognition of clinical deterioration, assessment of prognosis, and guidance of treatment decisions. This review is a field guide for hemodynamic assessment, troubleshooting, and interpretation for clinicians treating patients with heart failure.
心力衰竭是一种临床综合征，其特征是在休息或运动时，心脏无法满足身体的循环需求，而无需增加心内压力。血流动力学参数可以通过右心导管测量，它在心力衰竭的整个范围内都有重要作用：从门诊患者到心源性休克患者，以及考虑接受左心室器械治疗和心脏移植的患者。血流动力学数据对于及时识别临床恶化、评估预后和指导治疗决策至关重要。本综述为治疗心力衰竭患者的临床医生提供了血流动力学评估、故障排除和解释的现场指南。
