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射血分数保留的心力衰竭患者肺动脉高压的评估

Evaluation of pulmonary hypertension in heart failure with preserved ejection fraction.

作者信息

Cao Jenny Jia Ling, Reddy Yogesh N V

机构信息

Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN, 55905, USA.

出版信息

Heart Fail Rev. 2025 Sep 9. doi: 10.1007/s10741-025-10553-8.

DOI:10.1007/s10741-025-10553-8
PMID:40925989
Abstract

In contemporary clinical practice, pulmonary hypertension (PH) is most commonly caused by heart failure with preserved ejection fraction (HFpEF). This high prevalence of HFpEF-related PH has contributed to complexity in diagnosis and evaluation of PH in the context of other diseases such as the presence of risk factors for group 1 PH. In this review, we discuss emerging concepts guiding the evaluation, pathobiology, and treatment of PH in patients with HFpEF or HFpEF-associated risk factors.

摘要

在当代临床实践中,肺动脉高压(PH)最常见的病因是射血分数保留的心力衰竭(HFpEF)。HFpEF相关PH的高患病率导致在其他疾病背景下(如存在1组PH的危险因素)PH的诊断和评估变得复杂。在本综述中,我们讨论了指导HFpEF患者或HFpEF相关危险因素患者PH评估、病理生物学及治疗的新观念。

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Evaluation of pulmonary hypertension in heart failure with preserved ejection fraction.射血分数保留的心力衰竭患者肺动脉高压的评估
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本文引用的文献

1
Disentangling the Impact of Adiposity From Insulin Resistance in Heart Failure With Preserved Ejection Fraction.在射血分数保留的心力衰竭中,厘清肥胖与胰岛素抵抗的影响
J Am Coll Cardiol. 2025 May 13;85(18):1774-1788. doi: 10.1016/j.jacc.2025.03.530.
2
Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity.替尔泊肽用于射血分数保留的心力衰竭合并肥胖症
N Engl J Med. 2025 Jan 30;392(5):427-437. doi: 10.1056/NEJMoa2410027. Epub 2024 Nov 16.
3
Effects of tirzepatide on circulatory overload and end-organ damage in heart failure with preserved ejection fraction and obesity: a secondary analysis of the SUMMIT trial.
替尔泊肽对射血分数保留的心力衰竭合并肥胖患者循环超负荷和终末器官损伤的影响:SUMMIT试验的二次分析
Nat Med. 2025 Feb;31(2):544-551. doi: 10.1038/s41591-024-03374-z. Epub 2024 Nov 17.
4
Clinical Implications of Pretest Probability of HFpEF on Outcomes in Precapillary Pulmonary Hypertension.特发性肺动脉高压患者术前预测概率对临床结局的影响。
J Am Coll Cardiol. 2024 Nov 26;84(22):2196-2210. doi: 10.1016/j.jacc.2024.08.061. Epub 2024 Oct 23.
5
Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction.非奈利酮治疗射血分数轻度降低或保留的心力衰竭。
N Engl J Med. 2024 Oct 24;391(16):1475-1485. doi: 10.1056/NEJMoa2407107. Epub 2024 Sep 1.
6
Pulmonary hypertension associated with left heart disease.与左心疾病相关的肺动脉高压。
Eur Respir J. 2024 Oct 31;64(4). doi: 10.1183/13993003.01344-2024. Print 2024 Oct.
7
Definition, classification and diagnosis of pulmonary hypertension.肺动脉高压的定义、分类和诊断。
Eur Respir J. 2024 Oct 31;64(4). doi: 10.1183/13993003.01324-2024. Print 2024 Oct.
8
Dapagliflozin Enhances Arterial and Venous Compliance During Exercise in Heart Failure With Preserved Ejection Fraction: Insights From the CAMEO-DAPA Trial.达格列净增强射血分数保留的心力衰竭患者运动时的动脉和静脉顺应性:来自 CAMEO-DAPA 试验的见解。
Circulation. 2024 Sep 24;150(13):997-1009. doi: 10.1161/CIRCULATIONAHA.124.068788. Epub 2024 Aug 5.
9
An evidence-based screening tool for heart failure with preserved ejection fraction: the HFpEF-ABA score.基于证据的射血分数保留心力衰竭筛查工具:HFpEF-ABA 评分。
Nat Med. 2024 Aug;30(8):2258-2264. doi: 10.1038/s41591-024-03140-1. Epub 2024 Jul 12.
10
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Eur J Heart Fail. 2024 Nov;26(11):2379-2391. doi: 10.1002/ejhf.3319. Epub 2024 Jul 5.