Department of Physiology, University of Louisville School of Medicine, Louisville, KY 40202, USA.
Center for Predictive Medicine (CPM) for Biodefense and Emerging Infectious Diseases, University of Louisville, Louisville, KY 40202, USA.
Int J Mol Sci. 2024 Aug 12;25(16):8780. doi: 10.3390/ijms25168780.
Heart failure (HF) is a significant global healthcare burden with increasing prevalence and high morbidity and mortality rates. The diagnosis and management of HF are closely tied to ejection fraction (EF), a crucial parameter for evaluating disease severity and determining treatment plans. This paper emphasizes the urgent need to maintain EF during heart failure, highlighting the distinct phenotypes of HF with preserved ejection fraction (HFpEF) and HF with reduced ejection fraction (HFrEF). It discusses the complexities of HFrEF pathophysiology and its negative impact on patient outcomes, stressing the importance of ongoing research and the development of effective therapeutic interventions to slow down the progression from preserved to reduced ejection fraction. Additionally, it explores the potential role of renal denervation in preserving ejection fraction and its implications for HFrEF management. This comprehensive review aims to offer valuable insights into the critical role of EF preservation in enhancing outcomes for patients with heart failure.
心力衰竭(HF)是一项重大的全球医疗保健负担,其患病率不断增加,且发病率和死亡率都很高。HF 的诊断和管理与射血分数(EF)密切相关,EF 是评估疾病严重程度和确定治疗方案的关键参数。本文强调了在心力衰竭期间维持 EF 的紧迫性,突出了射血分数保留的心力衰竭(HFpEF)和射血分数降低的心力衰竭(HFrEF)这两种不同的心力衰竭表型。本文讨论了 HFrEF 病理生理学的复杂性及其对患者预后的负面影响,强调了持续研究和开发有效治疗干预措施的重要性,以减缓从射血分数保留到射血分数降低的进展。此外,本文还探讨了肾脏去神经支配在保留射血分数方面的潜在作用及其对 HFrEF 管理的影响。本综述旨在为 EF 保留在改善心力衰竭患者预后方面的关键作用提供有价值的见解。