在心力衰竭中,左心室喷射小部分的动态轨迹与改善的喷射小部分
Yang Jiang1,2, Xuefu Chen3, Xinxin Zhang3
1Dalian Medical University, Dalian, Liaoning Province, 116051, China.
BMC cardiovascular disorders
|November 5, 2024
概括
心力衰竭与改善的喷射率 (HFimpEF) 显示了左心室喷射率 (LVEF) 轨迹的变化. 持久的HFimpEF与短暂的HFimpEF相比,与更好的结果有关,表明不同的HF预报.
科学领域:
- 心脏病学 心脏病学
- 心脏衰竭研究研究
- 临床结果 临床结果
背景情况:
- 心力衰竭与改善的射出分数 (HFimpEF) 是一种公认的HF类型.
- 有限的数据存在于LVEF轨迹和预后在HFimpEF患者.
- 本研究检查了HFimpEF.在动态LVEF变化和临床结果.
研究的目的:
- 调查LVEF轨迹对HFimpEF临床结果的影响.
- 为了比较HFimpEF和持续的HFrEF之间的结果.
- 为了确定持续性HFimpEF的预测因素.
主要方法:
- 对HFrEF患者的多中心研究 (2015年1月至2022年10月).
- 患者被分为HFimpEF和持久性HFrEF组.
- HFimpEF被分为持久和短暂的LVEF轨迹.
主要成果:
- HFimpEF患者的全因和心血管死亡风险低于持久性HFrEF.
- 只有69.75%的HFimpEF患者保持LVEF>40%.
- 持久性HFimpEF显示死亡风险低于暂时性HFimpEF;性别和HDL预测持久性.
结论:
- HFimpEF涵盖了各种LVEF轨迹,不仅仅表示恢复.
- 持续的HFimpEF与卓越的临床结果有关.
- 临床医生应专注于可修改的因素,以稳定HF并改善预后.
相关概念视频
Pathophysiology of Heart Failure
1.5K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.5K
Imbalances in Cardiac Output
1.3K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.3K
Mitral Regurgitation I: Introduction
4
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
4
Heart Failure Drugs: Diuretics
345
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
345


