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首页> 外文期刊>Circulation journal >Prediction of Acute Heart Failure Decompensation
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Prediction of Acute Heart Failure Decompensation

机译:急性心力衰竭代偿的预测

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摘要

Among the aging populations of developed countries, congestive heart failure (HF) has become a major public health concern and the cause of considerable morbidity and mortality. The progression of chronic HF is often punctuated by hospitalizations for acute decompensation, after which, once the disease manifestations have been alleviated by treatment, the patient is left with further deterioration of cardiac function. Therefore, anticipation and prevention of acutely decompensated (AD) HF are critical. An increase in body weight associated with an increase in body fluids is expected before the development of ADHF. Heart rate variability and intrathoracic impedance (ITI) are other means of monitoring hemodynamic changes that can be added to the functions of implantable cardioverter defibrillators (ICD) and cardiac resynchronization therapy (CRT) systems. ITI has been inversely correlated to estimated pulmonary artery diastolic pressures and to serum NT-proBNP concentrations.
机译:在发达国家的老龄化人口中,充血性心力衰竭(HF)已成为主要的公共卫生问题,也是引起大量发病和死亡的原因。急性心力衰竭的住院治疗常常打断慢性心力衰竭的发展,此后,一旦通过治疗减轻了疾病表现,患者的心脏功能就会进一步恶化。因此,预测和预防急性代偿性(HF)HF至关重要。在ADHF出现之前,预计与体液增加相关的体重增加。心率变异性和胸腔内阻抗(ITI)是监视血液动力学变化的其他方法,可将其添加到植入式心脏复律除颤器(ICD)和心脏再同步治疗(CRT)系统的功能中。 ITI与估计的肺动脉舒张压和血清NT-proBNP浓度呈负相关。

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