Wang Chen, Fu Gaoshuang, Wang Xinnan, Li Ning
Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Science, 100700 Beijing, China.
Rev Cardiovasc Med. 2024 Jun 25;25(6):230. doi: 10.31083/j.rcm2506230. eCollection 2024 Jun.
Heart failure (HF) is a complex, life-threatening condition characterized by high mortality, morbidity, and poor quality of life. Despite studies of epidemiology, pathogenesis, and therapies, the rate of HF hospitalization is still increasing due to the growing and aging population and an increase in obesity in relatively younger individuals. It remains a predominant issue in the public health and the global economic burden. Current research has focused on how HF affects the entire range of left ventricular ejection fraction (LVEF), especially the three HF subgroups. This review provides a latest overview of pharmacological and non-pharmacological strategies of these three subgroups (HF with preserved ejection fraction, HF with reduced ejection fraction, and HF with mildly reduced ejection fraction). We summarize conventional therapies, investigate novel strategies, and explore the new technologies such as aortic thoracic stimulation and interatrial shunting devices.
心力衰竭(HF)是一种复杂的、危及生命的疾病,其特征是高死亡率、高发病率和低生活质量。尽管对其流行病学、发病机制和治疗方法进行了研究,但由于人口增长和老龄化以及相对年轻个体中肥胖率的上升,HF住院率仍在增加。它仍然是公共卫生和全球经济负担中的一个主要问题。目前的研究集中在HF如何影响左心室射血分数(LVEF)的整个范围,特别是三个HF亚组。本综述提供了这三个亚组(射血分数保留的HF、射血分数降低的HF和射血分数轻度降低的HF)的药物和非药物策略的最新概述。我们总结了传统疗法,研究了新策略,并探索了诸如胸主动脉刺激和房间隔分流装置等新技术。