心声图报告心力衰竭与保存的喷射分数:德尔菲共识研究研究.
Maria F Paton1,2, Carys Barton3, Resham Baruah4
1Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Open heart
|March 28, 2025
概括
开发标准化的心声回声学报告心力衰竭与保存的喷射分数 (HFpEF) 可以改善诊断和患者护理. 这种方法旨在减少英国的延迟和地理差异.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
背景情况:
- 保持喷射分数的心力衰竭 (HFpEF) 呈现出心力衰竭症状,尽管喷射分数正常.
- 目前在英国使用跨胸腔心声扫描 (TTE) 的HFpEF诊断途径可能会导致延迟.
- 需要一种一致而实用的方法来报告暗示HFpEF的心声学发现.
研究的目的:
- 开发和验证一种标准化,临床上合适和实用的方法,用于报告心声回声学对HFpEF的怀疑.
- 为了解决患者途径的差异,并改善HFpEF的诊断过程.
- 提高英国各地对HFpEF的TTE报告的一致性.
主要方法:
- 在由九名英国专家组成的指导小组中,采用了德尔菲方法,以确定关键领域并生成共识声明.
- 一项采用四点利克特级别的调查分发给135名英国医疗保健专业人员,这些专业人员在高温管理方面有经验.
- 共识被定义为75%的同意 ("强烈") 或≥90% ("非常强烈").
主要成果:
- 在七个领域产生了34个共识陈述,包括系统挑战,推增强和HFpEF病因学.
- 20个陈述 (59%) 达到了非常强烈的共识,10个 (29%) 达到了强烈的共识.
- 参与者包括生理学家,HF护士,心脏病学家,全科医生和药剂师,这表明了广泛的专业参与.
结论:
- 标准化的TTE报告和专家转诊途径对于及时的HFpEF诊断至关重要.
- 消除诊断延迟和地理差异需要一致的报告和多学科的合作.
- 改善HFpEF检测率和患者体验取决于提高教育和意识.
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