射血分数保留的心力衰竭诊断与治疗中国专家共识2023  

Diagnosis and Treatment of Heart Failure With Preserved Ejection Fraction:Chinese Expert Consensus 2023

作　　者：射血分数保留的心力衰竭诊断与治疗中国专家共识制定工作组 周京敏[2] 杨杰孚 王华[3] 黎励文[4] Chinese Expert Consensus Working Group on Diagnosis and Treatment of Heart Failure With Preserved Ejection Fraction;ZHOU Jingmin;YANG Jiefu

机构地区：[1]不详 [2]复旦大学附属中山医院 [3]北京医院 [4]广东省人民医院

出　　处：《中国循环杂志》2023年第4期375-393,共19页Chinese Circulation Journal

基　　金：国家重点研发计划(2018YFE0103000);北京卫生健康委员会首都卫生发展科研专项(首发2022-1-4052)。

摘　　要：射血分数保留的心力衰竭(HFpEF)在心力衰竭患者中所占比例接近50%,住院率和病死率与射血分数降低的心力衰竭(HFrEF)相当。为更好地掌握对HFpEF的认识和新进展,规范HFpEF的诊断与治疗,中国医师协会心血管内科医师分会心力衰竭学组联合中国心衰中心联盟专家委员会,组织专家根据国内外最新研究结果,参考相关指南,结合我国国情及临床实践,制定了基于循证医学证据的HFpEF诊断与治疗专家共识。本共识以推荐意见的分级评估、制定及评价(GRADE)方法为基础,采用提出和回答HFpEF诊断与治疗中存在的突出问题的方式呈现科学证据和专家意见,内容涵盖了HFpEF的分型、诊断与治疗流程、病因与合并症筛查、康复管理等,可为我国临床医师早期诊治和规范化管理HFpEF提供指导。Heart failure with preserved ejection fraction(HFpEF)accounts for nearly 50%of patients with heart failure,and the prognosis is as poor as that of heart failure with reduced ejection fraction(HFrEF).In order to update the knowledge on HFpEF and to standardize the diagnosis and treatment of patients with HFpEF,the Heart Failure Core Group of the Cardiovascular Physicians Branch of the Chinese Medical Doctor Association and the Expert Committee of the Chinese Heart Failure Center Alliance developed this expert consensus based on latest progress,China's national conditions and current status of clinical practice.This consensus employs the grading of recommendations assessment,development and evaluation(GRADE)method and presents evidence and expert opinions in the way of raising and answering prominent questions in the diagnosis and treatment of HFpEF.It covers the phenotyping of HFpEF,diagnosis and treatment process,etiology and comorbidities screening,as well as rehabilitation management.The consensus might provide useful guidance for the early diagnosis and standardized management of patients with HFpEF in China.

关 键 词：心力衰竭 射血分数保留 诊断 治疗 共识 

分 类 号：R54[医药卫生—心血管疾病]