慢性心力衰竭的早期识别及预防  

Early Identification and Prevention of Chronic Heart Failure

作　　者：刘红彬[1] 王丽娅[1] 宋春丽[1] 张晓华[1] 

机构地区：[1]河北医科大学附属石家庄第三医院心内科,河北石家庄050011

出　　处：《医学与哲学（B）》2013年第6期16-19,共4页Medicine & Philosophy(B)

摘　　要：慢性心力衰竭(心衰)的预防是全球范围急待解决的公众健康问题。以往的流行病学研究已经证明了心衰发生的危险因素及其标志性指标(既A期心衰)。发现有心衰的高危因素的个体是心衰预防的关键步骤。高血压和冠心病是最常见的心衰危险因素,糖尿病、心脏瓣膜病、血脂异常及肾功能不全与心衰的危险性高度相关。但无论是有这些心衰危险因素的患者(A期)或已经有心脏结构异常但还无临床症状的患者(B期),还是已经发展为有临床症状的心衰患者(C期及D期),都可能被忽视而不能快速诊断及适当治疗。因此,提高公众关注心衰意识将有助于正确的诊断及治疗,提高患者对心衰指南的依从性,而且更重要的是重视易导致心衰的危险因素,从而指导治疗。The prevention of chronic heart failure （HF） is an urgent public health need with national and global implica- tions. Prospective epidemiological studies have identified risk factors and risk markers for development of HF （stage A）. The identification of individuals who are at risk for HF is useful for the implementation of strategies to prevent HF. Hypertension and coronary artery disease are the most common risk factors for HF. Diabetes mellitus, valvular heart disease, dyslipidemia and renal insufficiency are consistently associated with a increase in the risk of HF. Patients having risk factors for the development of HF （stage A）, the presence of structural heart disease without symptoms （stage B）, or the symptomatic clinical syndrome （stages C and D） may not be detected quickly or treated appropriately. Increasing public awareness of the problem of HF will facilitate appropriate diagnosis and management of patients, should improve compliance with guidelines, and more importantly, should direct attention to treatment of risk factors that lead to HF.

关 键 词：慢性心力衰竭 识别 预防 

分 类 号：R541.6[医药卫生—心血管疾病]