巩固从最近的国际专家共识关于萨科佩尼亚的概念:对心力衰竭管理的影响
Gloria H W Lau1, Tung Wai Auyeung2, Emer Joyce3
1Gerald Choa Cardiac Research Centre and Laboratory for Heart Failure + Circulation Research, Li Ka Shing Institute of Health Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China; Centre for Cardiovascular Genomics & Medicine and HK HOPE, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Journal of cardiac failure
|June 18, 2025
概括
心力衰竭 (HF) 管理需要整合肉症查和诊断. 本综述解决了当前指导方针中的差距,并提出了早期检测和治疗HF患者的萨尔科佩尼亚的途径.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 肌肉生理学 肌肉生理学
背景情况:
- 肉症,肌肉损失,显著影响心力衰竭 (HF) 患者的生活质量和恢复.
- 现有的sarcopenia指南主要关注衰老,忽视了HF特定的考虑因素.
- 目前的高频率指南缺乏对石病的评估和管理的全面策略.
研究的目的:
- 审查与心力衰竭相关的国际肉症共识文件 (2019-2024年).
- 识别知识差距和HF治疗和干预影响肉症的最新进展.
- 提出一个综合的,多学科的护理途径,在HF管理中治疗肉症.
主要方法:
- 对2019年至2024年间发表的主要国际肉类症共识文件进行系统审查.
- 对HF药物治疗 (例如,SGLT2抑制剂) 和非药物干预 (例如,康复,启发性肌肉训练) 的最新发展进行分析.
- 对于HF患者来说,重新制定一个四步骤的肉症管理途径 (寻找-评估-确认-严重程度).
主要成果:
- 显著关注与衰老相关的肉症,对高频率的关注有限.
- 识别了知识差距,包括高频率的sarcopenic肥胖和心脏缩.
- 突出了SGLT2抑制剂,康复和鼓舞性肌肉训练对皮性HF患者的潜在益处.
结论:
- 心力衰竭的管理需要明确纳入萨尔科佩尼亚查和诊断.
- 跨学科的方法对于在高频率中实施结构化肉症管理途径至关重要.
- 早期识别和治疗缩症可以改善心力衰竭患者的治疗结果.
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