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《心力衰竭通用定义和分类》将开启心力衰竭诊疗的标准化进程
引用本文:徐芬,周洲. 《心力衰竭通用定义和分类》将开启心力衰竭诊疗的标准化进程[J]. 协和医学杂志, 2021, 12(5): 621-623. DOI: 10.12290/xhyxzz.2021-0436
作者姓名:徐芬  周洲
作者单位:国家心血管病中心 中国医学科学院阜外医院实验诊断中心,北京 100037
摘    要:近期,美国、欧洲和日本心力衰竭学会/协会联合发布了《心力衰竭通用定义和分类》共识.利钠肽被写入心力衰竭通用定义,成为继肌钙蛋白之后第二个被写入疾病定义的心脏标志物.共识将心力衰竭分为4类,新增了射血分数改善的心力衰竭.《心力衰竭通用定义和分类》具有广泛的适用性,有助于临床医生、科研人员和患者理解和采纳,是心力衰竭诊疗标...

关 键 词:心力衰竭  利钠肽  定义  分类  标准化
收稿时间:2021-05-30

Universal Definition and Classification of Heart Failure Triggers the Standardization of Diagnosis and Treatment of Heart Failure
Affiliation:Center of Laboratory Medicine, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing 100037, China
Abstract:Recently, the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology and Japanese Heart Failure Society jointly issued a consensus statement on Universal Definition and Classification of Heart Failure. Natriuretic peptides were written into the universal definition of heart failure and became the second cardiac marker written into the definition of disease after troponin.The consensus proposed new four classes of heart failure according to ejection fraction(EF), including heart failure with reduced EF(HFrEF), heart failure with mildly reduced EF(HFmrEF), heart failure with preserved EF(HFpEF)and heart failure with improved EF(HFimpEF). Universal Definition and Classification of Heart Failure has wide applicability, which is helpful for clinicians, researchers and patients to understand and adopt.It is an important first step forward to the standardization of diagnosis and treatment of heart failure. While using the universal definition and classification of heart failure, clinical staff should actively conduct scientific research to promote the standardization of diagnosis and treatment of heart failure.
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