舒张性心力衰竭诊治的进展

舒张性心力衰竭即主要表现为舒张功能异常的充血性心力衰竭。最近的流行病学研究表明,舒张性心力衰竭是十分常见的,有报道超过1/3甚至一半的心衰患者左心室收缩功能正常。舒张性心力衰竭的诊断来自于临床表现和实验室检查,存在一定的局限性。目前舒张性心力衰竭的治疗基于舒张性心力衰竭的病理生理、小样本的临床研究和来自治疗收缩性心力衰竭的经验。舒张性心力衰竭的预后接近于左室收缩不全的心力衰竭。本综述旨在介绍目前对舒张性心力衰竭诊断和治疗研究进展,使临床医师更加重视舒张性心力衰竭的诊治。

Advances in Diagnosis and Treatment of Diastolic Heart Failure

Diastolic heart failure is a kind of congestive heart failure which have something wrong with its diastolic function. Epidemiology study showed that diastolic heart failure is very common, of which about one third patients have normal ventricular systolic function. The diagnosis of it based on clinical manifestation and laboratory has its limit. Now days,the therapy of this disease depends on its pathophysiology,small sample clinical study and therapeutic experience from systolic heart failure, the prognosis of it is jut like that of systolic heart failure.In this article,we introduced the progress of diastolic heart failure in its diagnosis and therapy in order to attract more attention of clinical doctors to that.