心力衰竭和左心室喷射分数:一种必要但不完美的合作伙伴关系
Alberto Palazzuoli1, Gaetano Ruocco2,3, Andrew P Ambrosy4,5
1Cardiovascular Diseases Unit, Cardio-Thoracic and Vascular Department, Le Scotte Hospital, University of Siena, Viale Bracci 12, 53100, Siena, Italy. palazzuoli2@unisi.it.
Heart failure reviews
|September 27, 2025
概括
左心室喷射分数 (LVEF) 被广泛使用,但可能无法完全评估心力衰竭. 包括拥堵和右心室功能在内的综合方法提供了更好的风险评估.
科学领域:
- 心脏病学 心脏病学
- 心脏成像 - - 心脏成像
- 心脏衰竭管理的管理
背景情况:
- 左心室喷射分数 (LVEF) 是评估心力衰竭 (HF) 系统功能的标准度量.
- 心声学可实现实用,快速的LVEF测量,导致其广泛的临床和研究使用.
- 目前的指导方针建议进行纵向LVEF评估,以监测HF进展和治疗反应.
研究的目的:
- 评估心力衰竭中连续LVEF评估的局限性.
- 提出一种替代的,全面的风险分层和管理在HF患者的战略.
- 突出了LVEF之外的参数对于准确的心脏评估的重要性.
主要方法:
- 关于心力衰竭中LVEF的当前文献和临床共识陈述的综述.
- 讨论LVEF在反映整体心脏状况方面的局限性.
- 建议采用另一种评估策略,包括拥堵,右心室功能和心肌损伤.
主要成果:
- 支持串行LVEF评估对高温风险分层或管理指南的好处的证据有限.
- 单独的LVEF可能无法准确地代表整体心脏功能,忽略了透静功能,心室大小和膜/右心室功能.
- 综合性方法提供了更强大的诊断和预后信息.
结论:
- 为了改善心力衰竭的管理,建议从仅仅依赖连续LVEF转向多方面的评估.
- 结合对拥堵,右心室功能和心肌损伤的评估,可以更全面地了解患者的风险.
- 这一全面的战略旨在提高心力衰竭的诊断准确性和预后价值.
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