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首页> 外文期刊>BMJ: British medical journal >Investigation and management of congestive heart failure
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Investigation and management of congestive heart failure

机译:充血性心力的调查和管理失败

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Congestive heart failure is a common condition that increases in prevalence with increasing age. In 2003, guidance from the National Institute for Health and Clinical Excellence acknowledged that the "rising epidemic of heart failure" is partly the result of people living longer and the more effective treatments for coronary heart disease now available. It also acknowledged, however, that average life expectancy is only about three years after diagnosis, which is much worse than for many other serious illnesses such as cancer of the breast or colon.1 The condition is associated with poor quality of life, frequent hospital admissions, and poor survival,2 although this may have changed with the advent of better treatments. Community estimates of prevalence vary from 1.6 to 4.6 cases per 1000 in men aged 45-74 years and from 0.9 to 2.2 cases per 1000 in women. About 1% of men develop heart failure after age 75 and almost 2% after 80 years.3 This review discusses the immediate management of patients who present with the clinical syndrome of heart failure (usually a combination of dyspnoea, fatigue, exercise intolerance, and fluid retention) and the management of chronic congestive heart failure. It is based on evidence from guidelines, randomised controlled trials, and population cohorts followed for many years. We also emphasise the distinction between heart failure with low ejection fraction and heart failure with preserved ejection fraction because although plenty of evidence exists on how to treat the first entity very little exists on how to treat the second.
机译:充血性心力衰竭是一种常见的条件患病率随着年龄的增长而增加。2003年,国家研究所的指导健康和临床承认“越来越流行的心力衰竭”部分人们寿命更长和更多的结果有效治疗冠心病现在可用。平均寿命只有三个年后诊断,这是更糟糕的对于许多其他严重的疾病,如癌症乳房或colon.1与生活质量差,频繁住院了,可怜的生存,2虽然这可能已经改变随着更好治疗方法。从1.6到4.6每1000岁男性病例45 - 74岁,从0.9到2.2每1000例女性。75岁以后,80年后years.3几乎2%审查讨论的直接管理病人的临床综合症心力衰竭(通常的组合呼吸困难、疲劳、运动不耐受和液体潴留)和慢性的管理充血性心力衰竭。从指导方针,随机对照试验,和人口群体之后很多年了。我们也强调心之间的区别心脏射血分数和较低的失败射血分数保留因为失败尽管大量证据存在于如何很少存在于如何治疗第一实体第二个治疗。

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