Heart Failure with Preserved Ejection Fraction.

IF 2 4区 医学 Q1 NURSING
American Journal of Nursing Pub Date : 2025-11-01 Epub Date: 2025-10-23 DOI:10.1097/AJN.0000000000000184
Elizabeth Matthews
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引用次数: 0

Abstract

Abstract: Heart failure with preserved ejection fraction (HFpEF) is a multifaceted cardiovascular syndrome of symptomatic heart failure in which the left ventricular EF is normal (> 50%). The prevalence of HFpEF is rising and now accounts for approximately half of all heart failure cases worldwide, affecting an estimated 32 million individuals. Progression of HFpEF is associated with declining quality of life and increased risks of hospital admission and cardiovascular events. Despite the growing burden of HFpEF, it remains difficult to diagnose and manage effectively. Nurses and NPs play critical roles in identifying, educating, and treating patients with this clinical syndrome. This article aims to synthesize insights into the pathophysiology of HFpEF, as well as the current standards and requisite diagnostic studies to aid in diagnosis. Current evidence and expert consensus regarding HFpEF treatment are also presented.

保留射血分数的心力衰竭。
摘要:心力衰竭伴保留射血分数(HFpEF)是一种多面心血管综合征的症状性心力衰竭,其中左心室EF正常(> 50%)。HFpEF的患病率正在上升,目前约占全世界所有心力衰竭病例的一半,影响约3200万人。HFpEF的进展与生活质量下降、住院和心血管事件风险增加有关。尽管HFpEF的负担越来越重,但仍然难以有效诊断和管理。护士和np在识别、教育和治疗这种临床综合征患者方面发挥着关键作用。本文旨在综合了解HFpEF的病理生理学,以及目前的标准和必要的诊断研究,以帮助诊断。目前的证据和专家共识关于HFpEF治疗也提出。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.10
自引率
3.70%
发文量
604
审稿时长
6-12 weeks
期刊介绍: The American Journal of Nursing is the oldest and most honored broad-based nursing journal in the world. Peer reviewed and evidence-based, it is considered the profession’s premier journal. AJN adheres to journalistic standards that require transparency of real and potential conflicts of interests that authors,editors and reviewers may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE; www.icmje.org), the World Association of Medical Editors (WAME; www.wame.org), and the Committee on Publication Ethics (COPE; http://publicationethics.org/). AJN welcomes submissions of evidence-based clinical application papers and descriptions of best clinical practices, original research and QI reports, case studies, narratives, commentaries, and other manuscripts on a variety of clinical and professional topics. The journal also welcomes submissions for its various departments and columns, including artwork and poetry that is relevant to nursing or health care. Guidelines on writing for specific departments—Art of Nursing, Viewpoint, Policy and Politics, and Reflections—are available at http://AJN.edmgr.com. AJN''s mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.
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