与心力衰竭相关的全谱症状:一种混合方法系统审查和叙述综合
Muzeyyen Seckin1, Mark C Petri2,3, Simon Stewart1,4
1School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.
European journal of cardiovascular nursing
|July 28, 2025
概括
心力衰竭 (HF) 的症状比以前认为的多样化,包括许多非ESC症状. 准则需要更新,以反映不同患者群体的症状变化.
科学领域:
- 心脏病学 心脏病学
- 临床医学 临床医学
- 系统审查是系统的审查.
背景情况:
- 心力衰竭 (HF) 症状呈现复杂,可能超出目前欧洲心脏病学会 (ESC) 的指导方针.
- 了解HF症状的全谱对于准确的诊断和有效的管理至关重要.
- 以前的研究还没有全面地捕捉到HF患者经历的症状的多样性.
研究的目的:
- 调查欧洲心脏病学会 (ESC) 准则定义的"典型"和"不那么典型"心力衰竭 (HF) 症状.
- 识别和分析与心力衰竭相关的非ESC症状.
- 根据护理环境,年龄和性别来探索症状表现的变化.
主要方法:
- 在六个电子数据库中进行了混合方法的系统审查和叙事合成.
- 抽取症状数据并将其分类为ESC (典型/不那么典型) 和非ESC症状.
- 质量评估是使用Joanna Briggs研究所的批判性评估清单进行的.
主要成果:
- 58项研究表明,56/58观察到至少一个ESC典型或不那么典型的症状.
- 确定了38种非ESC症状,常见的例子包括胸部疼痛/不适,睡眠困难,恶心/吐/消化不良.
- 症状呈现因环境 (例如,咳,心跳,头在社区中更常见) 和年龄 (典型症状在65岁以上的人中更常见) 而有所不同.
结论:
- 心力衰竭患者的症状概况比ESC指南中目前描述的更广泛.
- 需要全面,以人为中心的心力衰竭症状评估协议.
- 临床指南需要更新,以纳入不同患者人口统计和临床背景中观察到的症状变异性.
更多相关视频
相关概念视频
01:17Pathophysiology of Heart Failure
1.8K
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...
1.8K
01:30Heart Failure VII: Nursing Interventions
140
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
140
01:26Heart Failure III: Clinical Manifestations
48
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
48
01:27Heart Failure I: Introduction
55
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
55
01:29Heart Failure II: Pathophysiology
44
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
44
01:30Heart Failure IV: Classification and Diagnostic Evaluation
33
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
33