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Updated: Jan 20, 2026

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在心力衰竭中多病发病率的流行率和预后,心脏衰竭的发病率和预后有轻微减少的喷射分数

Marielen Reinhardt¹, Michael Behnes¹, Mohammad Abumayyaleh¹

¹Department of Cardiology, Angiology, Haemostaseology and Medical Intensive Care, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany.

Clinical research in cardiology : official journal of the German Cardiac Society

|January 19, 2026

概括

住院患有轻微减少喷射分数 (HFmrEF) 的心力衰竭患者通常有多种并发症. 患有六种或以上的并发症显著增加了长期死亡的风险.

科学领域:

心脏病学心脏病学
内部医学内部医学
公共卫生公共卫生

背景情况:

患者心脏和非心脏伴随性疾病的患病率增加.
轻微减少喷射分数 (HFmrEF) 的心力衰竭呈现出异质的患者形状.
越来越需要了解多病症对HFmrEF的影响.

研究的目的:

为了确定住院HFmrEF患者多病症的患病率.
为了研究伴随性疾病数量的预后意义.
评估心血管和非心血管并发症对死亡率的影响.

主要方法:

从2016年至2022年对2,184名HFmrEF患者的回顾性分析.
根据12种评估的并发症的数量 (0-1,2-3,4-5,≥6) 划分为四组.
评估30个月的全因死亡率作为主要终点.

主要成果:

超过50%的HFmrEF患者患有≥4种并发症,17%患有≥6.
患有≥6并发症的患者表现出比 beta 阻断剂和MRAs 的出院率更高.
与较少并发症患者相比,≥6种并发症患者 (59.5%) 的30个月全因死亡风险明显较高.
心血管和非心血管并发症都独立预测了长期死亡风险.

结论:

在住院的HFmrEF患者中,多种病症非常普遍.
心血管和非心血管共同疾病的数量是HFmrEF中长期死亡率的重要预测指标.
这些发现强调了在HFmrEF护理中管理多种并发症的重要性.

关键词:

伴随性疾病伴随性疾病在HFmrEFEF中使用.心力衰竭与轻微减少的喷射分数心力衰竭.死亡率死亡率死亡率多种疾病多重症.

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