2019年欧洲心力衰竭协会/欧洲心脏病学会《射血分数保留的心力衰竭的诊断》解读

目前射血分数保留的心力衰竭（HFpEF）占心力衰竭患者50%以上，并且缺乏有效改善预后的药物疗法。2019年欧洲心力衰竭协会（HFA）和欧洲心脏病学会（ESC）制定了新的专家共识--4步HFA-PEFF诊断算法，包括第一步“初始评估”，第二步“基于超声心动图和脑钠肽”，第三步“功能评估”，第四步“病因诊断”。本文在对4步诊断法详细介绍的同时，也对HFpEF的合并症以及心力衰竭的社区管理进行论述。

Interpretation of 2019 How to Diagnose Heart Failure with Preserved Ejection Fraction from the Heart Failure Association of the European Society of Cardiology

Currently,heart failure with preserved ejection fraction(HFpEF) accounts for more than 50% of HF cases,but there is lack of available effective drug therapy to improve the prognosis.In 2019,the Heart Failure Association(HFA) of the European Society of Cardiology(ESC) developed a new consensus recommendation,4-step HFA-PEFF diagnostic algorithm:the first step is " pre-test assessment ",and the second step is " echocardiographic and natriuretic peptide heart failure with preserved ejection fraction diagnostic score ",the third step " functional testing ",the fourth step " final aetiology ".In this paper,not only the four-step diagnosis method is introduced in detail,but the comorbidity of HFpEF and community-based management of HF is also discussed.