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心力衰竭管理领域的新突破:新型疗法与未来前沿。

Breaking new ground in heart failure management: novel therapies and future frontiers.

作者信息

Khalid Arbab, Rodriguez Paulette, Tasouli-Drakou Vasiliki, Ahmed Abu-Bakr, Thatcher Spencer, Dugal Jasmine K, Singh Aditi

机构信息

Department of Internal Medicine, Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas, NV, United States.

Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas, NV, United States.

出版信息

Front Cardiovasc Med. 2025 Aug 20;12:1643971. doi: 10.3389/fcvm.2025.1643971. eCollection 2025.

Abstract

Heart failure (HF) management is advancing in the field of cardiology, driven by the increasing availability of progressive medications. Emerging pharmacological therapies in heart failure management include SGLT-2 inhibitors, ARNI, Vericiguat, and Omecamtiv. Other novel therapies that are changing the scope of HF management include IV Iron therapy and new antifibrotic agents, such as pirfenidone and pamrevlumab. With groundbreaking approaches such as gene and stem cell-based therapies, the possibilities include gene editing and RNA-based therapies. This article contrasts novel HF therapies against previously used therapies, highlighting their mechanism of action, clinical efficiency, and relevant clinical trials. Additionally, the limitations and challenges associated with the emerging therapies will be discussed. Overall, this literature review aims to provide a comprehensive understanding of how these therapies are transforming the management of HF and related cardiomyopathies.

摘要

在心脏病学领域,随着越来越多的先进药物可供使用,心力衰竭(HF)的管理正在不断发展。心力衰竭管理中新兴的药物疗法包括钠-葡萄糖协同转运蛋白2(SGLT-2)抑制剂、血管紧张素受体脑啡肽酶抑制剂(ARNI)、维立西呱和奥迈卡替。其他正在改变心力衰竭管理范围的新型疗法包括静脉铁疗法和新的抗纤维化药物,如吡非尼酮和帕姆瑞昔单抗。通过基于基因和干细胞的疗法等开创性方法,可能的治疗手段包括基因编辑和基于RNA的疗法。本文将新型心力衰竭疗法与先前使用的疗法进行对比,突出它们的作用机制、临床疗效以及相关临床试验。此外,还将讨论与新兴疗法相关的局限性和挑战。总体而言,这篇文献综述旨在全面了解这些疗法如何改变心力衰竭及相关心肌病的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8313/12405340/042b015fca0d/fcvm-12-1643971-g001.jpg

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