怀疑心力衰竭和保存的喷射分数的患者进行全面的诊断工作
Stefano Albani1, Filippo Zilio2, Pietro Scicchitano3
1Division of Cardiology, U. Parini Hospital, Aosta, Italy; Cardiovascular Institute Paris Sud, Massy, France.
Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese
|September 24, 2023
概括
诊断心力衰竭与保存的喷射分数 (HFpEF) 是复杂的. 本综述指导临床医生通过各种诊断测试,帮助迅速和准确的HFpEF识别有效治疗.
科学领域:
- 心脏病学 心脏病学
- 临床医学 临床医学
- 诊断工具 诊断工具
背景情况:
- 通过保留喷射分数 (HFpEF) 诊断心力衰竭存在重大挑战.
- 某些诊断测试的有限可用性可能会使HFpEF评估复杂化.
- 新兴的HFpEF疗法需要及时和准确的诊断.
研究的目的:
- 为临床医生提供一个全面的指南来诊断HFpEF.
- 为了解决HFpEF病例中的诊断不确定性.
- 帮助区分HFpEF的潜在原因,以进行量身定制的治疗.
主要方法:
- 对诊断生物标志物水平的审查.
- 对HFpEF的成像方式的评估.
- 基于分数的算法和侵入性评估的分析.
- 讨论每个诊断方法的优缺点.
主要成果:
- 突出了HFpEF诊断中的复杂性和挑战.
- 强调了解各种诊断工具的实用性和局限性的重要性.
- 为临床医生提供了一个导航诊断决策的框架.
结论:
- 准确的HFpEF诊断对于启动新疗法至关重要.
- 考虑各种诊断方法的系统方法至关重要.
- 本次审查旨在提高诊断准确度,并指导适当的患者管理.
相关概念视频
Acute Coronary Syndrome III: Diagnostic Studies
9
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
9
Dysrhythmias V: Evaluating Dysrhythmias
41
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
41
Imaging Studies for Cardiovascular System I:Echocardiography
359
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
359
Heart Failure IV: Classification and Diagnostic Evaluation
19
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
19
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
37
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
37
Cardiomyopathy II: Dilated Cardiomyopathy
11
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
11


