心力衰竭:预防和治疗缺一不可Heart Failure:Prevention and Treatment are Indispensable
徐芬;周洲;
XU Fen;ZHOU Zhou;Center of Laboratory Medicine, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College,National Center for Cardiovascular Diseases;
摘要(Abstract):
美国心脏协会、美国心脏病学会和美国心力衰竭协会联合发布了《2022年AHA/ACC/HFSA心力衰竭管理指南》。该指南倡导心力衰竭防治并重,强调基于利钠肽筛查的一级预防对A期(心力衰竭风险期)或B期(心力衰竭前期)患者至关重要;推荐C期(心力衰竭期)患者应接受多学科团队管理,尽早使用包括钠-葡萄糖协同转运蛋白2抑制剂的“基础四联疗法”;并推荐将希望延长生存期的D期(心力衰竭晚期)患者及时转诊至心力衰竭专科团队,以评估晚期心力衰竭治疗的适用性。
Recently, 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure has been published. It advocates to pay equal attention to the prevention and treatment of heart failure; and emphasizes that primary prevention based on natriuretic peptides screening is essential for patients at risk for heart failure or with pre-heart failure. Furthermore, it recommends that patients with symptomatic heart failure should receive care from a multidisciplinary team to facilitate the implementation of “basic quadruple therapy” including sodium glucose cotransporter 2 inhibitors; and that patients with advanced heart failure who wish to prolong their survival should be timely referral for heart failure specialty care and assess suitability for advanced heart failure therapies.
关键词(KeyWords):
心力衰竭;预防;治疗;利钠肽;钠-葡萄糖协同转运蛋白2抑制剂
heart failure;prevention;treatment;natriuretic peptides;sodium-glucose cotransporter 2 inhibitor
基金项目(Foundation):
作者(Authors):
徐芬;周洲;
XU Fen;ZHOU Zhou;Center of Laboratory Medicine, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College,National Center for Cardiovascular Diseases;
参考文献(References):
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- 心力衰竭
- 预防
- 治疗
- 利钠肽
- 钠-葡萄糖协同转运蛋白2抑制剂
heart failure - prevention
- treatment
- natriuretic peptides
- sodium-glucose cotransporter 2 inhibitor
- 徐芬
- 周洲
XU Fen- ZHOU Zhou
- Center of Laboratory Medicine
- Fuwai Hospital
- Chinese Academy of Medical Sciences & Peking Union Medical College
- National Center for Cardiovascular Diseases
- 徐芬
- 周洲
XU Fen- ZHOU Zhou
- Center of Laboratory Medicine
- Fuwai Hospital
- Chinese Academy of Medical Sciences & Peking Union Medical College
- National Center for Cardiovascular Diseases