心力衰竭和射血分数降低的药物治疗进展:2024 年有哪些新进展?

IF 2.5 3区 医学 Q3 PHARMACOLOGY & PHARMACY
Expert Opinion on Pharmacotherapy Pub Date : 2024-10-01 Epub Date: 2024-10-03 DOI:10.1080/14656566.2024.2408376
Zahra Ismail, Maryam Aboughdir, Bea Duric, Sahil Kakar, Jeffrey Shi Kai Chan, Yasmin Bayatpoor, Amer Harky
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引用次数: 0

摘要

导言:射血分数降低型心力衰竭(HFrEF)和急性失代偿的最新支柱指南改善了患者的预后,但人们仍在不断努力发掘新的证据并开发新的治疗方法。本综述旨在研究当前疗法的局限性以及新兴疗法的潜在影响:文献检索的重点是研究治疗高频低氧血症患者的药物。我们对近期的临床试验和新兴疗法进行了研究,以深入了解可能会重塑心衰治疗的潜在疗法。本综述旨在强调证据的力量,评估是否有必要更新指南,并探讨如何以最佳方式优化和提高患者预后:HFrEF 的治疗领域正在迅速发展,钠/葡萄糖共转运体 1 和 2 抑制剂、沙库比妥-缬沙坦等成熟疗法和新型疗法都取得了显著进展。尽管治疗急性失代偿性心力衰竭存在固有的挑战,但最近的临床试验凸显了完善利尿剂策略和探索抗炎治疗的潜力。这些进展凸显了致力于优化患者预后的这一充满活力的领域。虽然监管障碍和安全问题依然存在,但持续的研究和全面的临床试验对于验证这些新兴疗法并将其纳入标准实践至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advances in pharmacotherapy for heart failure and reduced ejection fraction: what's new in 2024?

Introduction: Updated guidelines for heart failure with reduced ejection fraction (HFrEF) and acute decompensation have improved outcomes, but ongoing efforts are focused on uncovering new evidence and developing novel therapies. This review examines the limitations of current treatments and the potential impact of emerging therapies.

Areas covered: A literature search focused on studies investigating drugs for HFrEF. We review recent clinical trials and emerging therapies to assess evidence strength, explore guideline updates, and identify strategies to optimize patient outcomes.

Expert opinion: The HFrEF treatment landscape is rapidly evolving, with advances in therapies like sodium/glucose cotransporter inhibitors and sacubitril-valsartan. Though managing acute decompensated heart failure remains challenging, recent trials suggest improvements in diuretic strategies and anti-inflammatory treatments. Ongoing research is essential for validating these therapies and incorporating them into standard practice.

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来源期刊
CiteScore
5.60
自引率
3.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Expert Opinion on Pharmacotherapy is a MEDLINE-indexed, peer-reviewed, international journal publishing review articles and original papers on newly approved/near to launch compounds mainly of chemical/synthetic origin, providing expert opinion on the likely impact of these new agents on existing pharmacotherapy of specific diseases.
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