《2023年国际心肺移植学会共识声明:心力衰竭相关心源性休克》解读  

Interpretation of the 2023 ISHLT consensus statements for heart failure-related cardiogenic shock

作　　者：王沁雪 黄浩彬 李响 赵宇晗 韩艺 WANG Qin-xue;HUANG Hao-bin;LI Xiang;ZHAO Yu-han;HAN Yi(Department of Critical Care Center(Geriatric ICU),the First Affiliated Hospital of Nanjing Medical University,Jiangsu Nanjing 210029,China;Department of Cardiovascular Surgery,the First Affiliated Hospital of Nanjing Medical University,Jiangsu Nanjing 210029,China;Department of Critical Care Medicine,the Second Affiliated Hospital of Harbin Medical University,Heilongjiang Harbin 150086,China)

机构地区：[1]南京医科大学第一附属医院重症医学中心(老年ICU),江苏南京210029 [2]南京医科大学第一附属医院心脏大血管外科,江苏南京210029 [3]哈尔滨医科大学附属第二医院重症医学科,黑龙江哈尔滨150086

出　　处：《内科急危重症杂志》2024年第6期481-486,共6页Journal of Critical Care In Internal Medicine

基　　金：国家自然科学基金面上项目(82470496)。

摘　　要：国际心肺移植协会(ISHLT)于2022年在波士顿召开会议,54位与会专家经问卷调查和分组讨论,就心力衰竭相关心源性休克(HF-CS)的管理系统、患者特征及管理策略3个关键问题达成一致意见,并于2023年发布共识声明。共识推荐采用“同心圆”式的层级管理模型,强调多学科团队协作并建立完善的转诊评估体系,以实现HF-CS患者的分级管理和精准治疗。对非急性心肌梗死相关的心源性休克建议使用HF-CS命名,根据具体情况选择适当的临时机械循环支持(tMCS)策略和抗凝方案,提出了tMCS的撤机流程和支持目标。该共识为HF-CS的临床实践和研究提供指导,旨在提高患者的生存率和生活质量。本文就该共识声明的内容进行详细解读,以期提高我国对于HF-CS患者的诊治能力。The International Society for Heart and Lung Transplantation(ISHLT)convened a meeting in Boston in 2022,where 54 experts reached a consensus on three key issues related to heart failure-related cardiogenic shock(HF-CS)through surveys and group discussions,which was released in 2023.The consensus recommended adopting a"concentric circle"tiered management model,emphasized multidisciplinary team collaboration,and established a referral evaluation system.For non-acute myocardial infarction related cardiogenic shock,the term HF-CS was recommended.Appropriate temporary mechanical circulatory support(tMCS)strategies and anticoagulation protocols were advised to be selected based on specific circumstances,with guidelines provided for tMCS weaning processes and support goals.This consensus offered guidance for clinical practice and research on HF-CS,aiming to improve patient survival and quality of life.This article provided a detailed interpretation of the consensus statement to enhance the diagnosis and treatment of HF-CS patients in China.

关 键 词：心力衰竭相关心源性休克 共识声明 管理策略 评估 

分 类 号：R541.6[医药卫生—心血管疾病]