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The role of right ventricular function in the development of heart failure-what should we solve?

机译:右心室功能在心力衰竭发展中的作用-我们应该解决什么?

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摘要

Heart failure (HF) is one of the most common and life-threatening cardiovascular diseases in aging societies such as Japan's.1 HF has emerged as a major public health problem and clinical burden over the past decade because of the rates of mortality and frequent HF hospitalization. Therefore, new diagnostic and therapeutic targets for HF must be established quickly.Right ventricular (RV) function is a promising target for diagnosis and treatment in patients with HF. In the Beta-Blocker Evaluation of Survival Trial (BEST) participants with HF and left ventricular (LV) ejection fraction (EF) <35%, baseline RVEF <20%, estimated by gated-equilibrium radionuclide ventriculography, was a significant independent predictor of mortality and HF hospitalization.2 Many other reports have shown that RV function is closely related to prognosis and pathophysiology in patients with idiopathic cardiomyopathy,' RV infarction,4 valvular heart disease5 and obstructive sleep apnea.
机译:心力衰竭(HF)是日本等老龄化社会中最常见且威胁生命的心血管疾病之一。在过去的十年中,由于死亡率和频繁的HF导致HF成为主要的公共卫生问题和临床负担住院。因此,必须迅速建立新的HF诊断和治疗目标。右心室(RV)功能是HF患者诊断和治疗的有希望的目标。在心力衰竭和左心室射血分数(EF)<35%的HF患者的生存试验的Beta-Blocker评估中,基线RVEF <20%(门控平衡放射性核素心室描记法估计)是心血管疾病的重要独立预测因子死亡率和心衰住院率。2许多其他报告显示,特发性心肌病,RV梗死,4瓣膜性心脏病5和阻塞性睡眠呼吸暂停患者中,RV功能与预后和病理生理密切相关。

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