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心力衰竭中的器官损伤及其处理：肝、肾和甲状腺功能障碍。

Organ injury and its management in heart failure: Liver, kidney, and thyroid gland dysfunction.

机构信息

Department of Cardiovascular Medicine, Fukushima Medical University.

Department of Clinical Laboratory Sciences, Fukushima Medical University.

出版信息

Fukushima J Med Sci. 2024 Jul 24;70(3):111-117. doi: 10.5387/fms.24-00002. Epub 2024 Jul 13.

DOI:10.5387/fms.24-00002
PMID:38972720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11330261/
Abstract

Heart failure is hemodynamically characterized as congestion and/or end-organ hypoperfusion, and is associated with increased morbidity and mortality. Underlying pathophysiology, such as neuro-hormonal activation, exacerbates heart failure and leads to functional deterioration of other organs. We have been conducting clinical research to study the pathophysiology of heart failure and discover prognostic factors. In this review article, we report the results and implications of our clinical research on heart failure.

摘要

心力衰竭在血流动力学上表现为充血和/或终末器官灌注不足，并与发病率和死亡率的增加相关。潜在的病理生理学，如神经激素激活，会加重心力衰竭，并导致其他器官的功能恶化。我们一直在进行临床研究，以研究心力衰竭的病理生理学并发现预后因素。在这篇综述文章中，我们报告了我们对心力衰竭的临床研究结果和意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/744e/11330261/eaffce6ae994/2185-4610-70-111-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/744e/11330261/a14a77a643cf/2185-4610-70-111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/744e/11330261/412e80402b0b/2185-4610-70-111-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/744e/11330261/eaffce6ae994/2185-4610-70-111-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/744e/11330261/a14a77a643cf/2185-4610-70-111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/744e/11330261/412e80402b0b/2185-4610-70-111-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/744e/11330261/eaffce6ae994/2185-4610-70-111-g003.jpg

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本文引用的文献

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Hepatic Venous Stasis Index Reflects Hepatic Congestion and Predicts Adverse Outcomes in Patients With Heart Failure.肝静脉淤血指数反映肝淤血并预测心力衰竭患者的不良结局。
J Am Heart Assoc. 2023 Jun 20;12(12):e029857. doi: 10.1161/JAHA.122.029857. Epub 2023 Jun 10.
2
Prognostic significance of spleen shear wave elastography and dispersion in patients with heart failure: the crucial role of cardio-splenic axis.心力衰竭患者脾脏剪切波弹性成像及弥散的预后意义：心脾轴的关键作用。
Clin Res Cardiol. 2023 Jul;112(7):942-953. doi: 10.1007/s00392-023-02183-7. Epub 2023 Mar 20.
3
Decreases in hepatokine Fetuin-A levels are associated with hepatic hypoperfusion and predict cardiac outcomes in patients with heart failure.
肝分泌素 Fetuin-A 水平降低与肝灌注不足有关，并可预测心力衰竭患者的心脏预后。
Clin Res Cardiol. 2022 Oct;111(10):1104-1112. doi: 10.1007/s00392-022-02023-0. Epub 2022 Apr 19.
4
2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2022年美国心脏协会/美国心脏病学会/美国心力衰竭学会心力衰竭管理指南：美国心脏病学会/美国心脏协会临床实践指南联合委员会报告
Circulation. 2022 May 3;145(18):e895-e1032. doi: 10.1161/CIR.0000000000001063. Epub 2022 Apr 1.
5
Renal Venous Stasis Index Reflects Renal Congestion and Predicts Adverse Outcomes in Patients With Heart Failure.肾静脉淤血指数反映肾淤血情况并预测心力衰竭患者的不良结局。
Front Cardiovasc Med. 2022 Mar 7;9:772466. doi: 10.3389/fcvm.2022.772466. eCollection 2022.
6
Simplifying Bleeding Risk Assessment in Heart Failure.简化心力衰竭出血风险评估
Circ J. 2021 Dec 24;86(1):156-157. doi: 10.1253/circj.CJ-21-0921. Epub 2021 Nov 26.
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Simplified Academic Research Consortium for High Bleeding Risk (ARC-HBR) Definition Predicts Bleeding Events in Patients With Heart Failure.简化学术研究联盟对高出血风险 (ARC-HBR) 的定义预测了心力衰竭患者的出血事件。
Circ J. 2021 Dec 24;86(1):147-155. doi: 10.1253/circj.CJ-21-0686. Epub 2021 Oct 26.
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