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如何诊断射血分数保留的心力衰竭。

How to diagnose heart failure with preserved ejection fraction.

机构信息

Cardiology, University of Rennes, CHU Rennes, Inserm, LTSI-UMR 1099, 2 Rue Henri le Guilloux, F-35000 Rennes, France.

Department of Pharmacology, Toxicology, and Clinical Pharmacology, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

出版信息

Eur Heart J Cardiovasc Imaging. 2024 Oct 30;25(11):1505-1516. doi: 10.1093/ehjci/jeae183.

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a major healthcare problem that is raising in prevalence. There has been a shift in HpEF management towards early diagnosis and phenotype-specific targeted treatment. However, the diagnosis of HFpEF remains a challenge due to the lack of universal criteria and patient heterogeneity. This review aims to provide a comprehensive assessment of the diagnostic workup of HFpEF, highlighting the role of echocardiography in HFpEF phenotyping.

摘要

射血分数保留的心衰(HFpEF)是一个日益严重的主要医疗保健问题。HFpEF 的管理已经转向早期诊断和针对特定表型的靶向治疗。然而,由于缺乏通用标准和患者异质性,HFpEF 的诊断仍然具有挑战性。本综述旨在全面评估 HFpEF 的诊断方法,重点介绍超声心动图在 HFpEF 表型中的作用。

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