Heart Failure with Preserved Ejection Fraction: Mechanisms and Treatment Strategies.

IF 15.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Kazunori Omote, Frederik H Verbrugge, Barry A Borlaug
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引用次数: 30

Abstract

Approximately half of all patients with heart failure (HF) have a preserved ejection fraction, and the prevalence is growing rapidly given the aging population in many countries and the rising prevalence of obesity, diabetes, and hypertension. Functional capacity and quality of life are severely impaired in heart failure with preserved ejection fraction (HFpEF), and morbidity and mortality are high. In striking contrast to HF with reduced ejection fraction, there are few effective treatments currently identified for HFpEF, and these are limited to decongestion by diuretics, promotion of a healthy active lifestyle, and management of comorbidities. Improved phenotyping of subgroups within the overall HFpEF population might enhance individualization of treatment. This review focuses on the current understanding of the pathophysiologic mechanisms underlying HFpEF and treatment strategies for this complex syndrome.

保留射血分数的心力衰竭:机制和治疗策略。
大约一半的心力衰竭(HF)患者有保留的射血分数,由于许多国家的人口老龄化以及肥胖、糖尿病和高血压的患病率上升,心力衰竭的患病率正在迅速增长。保留射血分数(HFpEF)心力衰竭患者的功能能力和生活质量严重受损,发病率和死亡率都很高。与射血分数降低的心衰形成鲜明对比的是,目前很少有有效的治疗HFpEF的方法,这些方法仅限于通过利尿剂减少充血,促进健康积极的生活方式,以及对合并症的管理。在整个HFpEF人群中,亚群表型的改善可能会增强治疗的个体化。本文综述了目前对HFpEF的病理生理机制和治疗策略的理解。
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来源期刊
Annual review of medicine
Annual review of medicine 医学-医学:内科
CiteScore
24.90
自引率
0.00%
发文量
58
期刊介绍: The Annual Review of Medicine, which has been published since 1950, focuses on important advancements in diverse areas of medicine. These include AIDS/HIV, cardiology, clinical pharmacology, dermatology, endocrinology/metabolism, gastroenterology, genetics, immunology, infectious disease, neurology, oncology/hematology, pediatrics, psychiatry, pulmonology, reproductive medicine, and surgery. The journal's current volume has transitioned from a gated access model to an open access model through the Annual Reviews' Subscribe to Open program. All articles published in the journal are now available under a CC BY license.
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