射血分数保留的心力衰竭非药物治疗进展Progress in non-pharmacological strategies of heart failure with preserved ejection fraction
许晓明,夏云龙,夏林莺,郭永珍,刘泉池,韩雪,闫文俊
摘要(Abstract):
射血分数保留的心力衰竭(HFpEF)是一种高度异质性的系统性疾病,也是全球范围内心力衰竭的主要类型。目前HFpEF的药物治疗选择十分有限,尚无针对HFpEF的特异性药物。新近研究表明非药物治疗策略作为常规药物治疗的辅助手段,能有效地改善HFpEF患者的症状、生活质量及心力衰竭再入院风险。主要技术包括CD34~+干细胞移植、内脏大神经射频消融术、房间隔分流术、心房起搏、心肌收缩力调节、左心室扩张器、压力感受器刺激等。本文对近年来HFpEF相关非药物治疗的最新临床证据进行系统性综述,以期加强对HFpEF的治疗策略的认识。
关键词(KeyWords): 射血分数保留的心力衰竭;非药物治疗;器械治疗;监测预警
基金项目(Foundation): 国家自然科学基金面上项目(82370252、82370386)
作者(Author): 许晓明,夏云龙,夏林莺,郭永珍,刘泉池,韩雪,闫文俊
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