在心房动中查未识别的HFpEF以及在心房动中查未识别的HFpEF
Yogesh N V Reddy1, Peter Noseworthy1, Barry A Borlaug1
1Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA.
JACC. Heart failure
|June 5, 2024
概括
在心力衰竭中对心房动 (AF) 的查具有保存的喷射分数 (HFpEF) 患者,反之亦然,至关重要. 这些疾病的早期发现可以指导量身定制的治疗方法,并改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
背景情况:
- 前庭动 (AF) 和心力衰竭与保存的喷射分数 (HFpEF) 共享一个双向关系.
- 患有一种疾病的患者往往没有诊断出另一种疾病的存在,这会影响管理和预后.
研究的目的:
- 审查在AF患者中对隐性HFpEF查的证据和理由.
- 审查HFpEF患者隐性AF查的证据和理由.
主要方法:
- 文献综述总结了当前的证据和临床理由.
- 讨论诊断方法和治疗影响.
主要成果:
- 在AF患者中对HFpEF的查可以通过诸如运动右心导管检查等测试来确定特定治疗的候选人.
- 在HFpEF患者中查AF可以识别隐性AF,告知抗凝决策,并可能指导节律控制策略.
结论:
- 查有助于理解重叠的症状及其潜在原因.
- 积极查可以引导治疗减缓疾病进展,并减少AF和HFpEF患者的并发症.
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