用保存的喷射分数 (HFpEF) 诊断心力衰竭的诊断方法 - 识别未识别的HFpEF
Takahiro Okuno1,2, Kazuki Kagami1, Tomonari Harada1
1Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine.
概括
现在可以治疗心力衰竭与保存的喷射分数 (HFpEF),但经常错过. 本综述为初级保健医生提供了一种5步方法,以改善无法解释性呼吸障碍患者的早期HFpEF诊断.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 药理学 药理学是指药理学的学科.
背景情况:
- -葡萄糖共传输体-2 抑制剂已经将心力衰竭与保存的喷射分数 (HFpEF) 转化为可治疗的疾病.
- 尽管有治疗进展,但由于诊断复杂性,HFpEF在各种护理环境中仍未被诊断出来.
- 肥胖和心房动是常见的并发症,可能进一步复杂化HFpEF诊断.
研究的目的:
- 阐明与HFpEF相关的诊断挑战背后的原因.
- 提出一种实用的5步诊断策略,用于在患有不明原因呼吸障碍的患者中识别HFpEF.
- 突出初级保健医生在早期HFpEF检测中的关键作用,并讨论改善转诊率的方法.
主要方法:
- 对HFpEF诊断和治疗的当前文献的综述.
- 分析导致初级,二级和三级护理诊断不足的因素.
- 开发一个结构化的5步方法来识别HFpEF.
主要成果:
- 在HFpEF的诊断困难源于其复杂的呈现和重叠与其他条件.
- 一种系统的五步方法可以帮助临床医生识别HFpEF,特别是在无法解释的呼吸短促患者中.
- 加强社区推途径对于提高HFpEF诊断率至关重要.
结论:
- 现在可以获得有效的治疗方法,对HFpEF的早期和准确诊断至关重要.
- 初级保健医生在社区内启动HFpEF诊断过程中起着关键作用.
- 改进诊断策略和转诊流程可以显著提高这种可治疗疾病的检测.
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