Heart failure diagnosis in the general community - who, how and when? A clinical consensus statement of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC)

被引:12
作者
Docherty, Kieran F. [1 ]
Lam, Carolyn S. P. [2 ,8 ]
Rakisheva, Amina [3 ]
Coats, Andrew J. S. [4 ]
Greenhalgh, Trisha [5 ]
Metra, Marco [6 ]
Petrie, Mark C.
Rosano, Giuseppe M. C. [7 ]
机构
[1] Univ Glasgow, BHF Cardiovasc Res Ctr, Glasgow City, Scotland
[2] Duke Natl Univ Singapore, Natl Heart Ctr Singapore, Singapore, Singapore
[3] Sci Res Inst Cardiol & Internal Med, Alma Ata, Kazakhstan
[4] Heart Res Inst, Sydney, Australia
[5] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Med Sci Div, Oxford, England
[6] Univ Brescia, Dept Med & Surg Specialties, Radiol Sci & Publ Hlth, Cardiol ASST Spedali Civili, Brescia, Italy
[7] IRCCS San Raffaele Rome, Rome, Italy
[8] Natl Heart Ctr Singapore, 5 Hosp Dr, Singapore 169609, Singapore
关键词
Diagnosis; Heart failure; Natriuretic peptides; Screening; OBSTRUCTIVE PULMONARY-DISEASE; BRAIN NATRIURETIC PEPTIDE; REDUCED EJECTION FRACTION; MINERALOCORTICOID RECEPTOR ANTAGONISTS; LEFT-VENTRICULAR DYSFUNCTION; PRIMARY-CARE; SCIENTIFIC STATEMENT; ARTIFICIAL-INTELLIGENCE; CARDIOVASCULAR-DISEASE; SYSTOLIC DYSFUNCTION;
D O I
10.1002/ejhf.2946
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A significant proportion of patients experience delays in the diagnosis of heart failure due to the non-specific signs and symptoms of the syndrome. Diagnostic tools such as measurement of natriuretic peptide concentrations are fundamentally important when screening for heart failure, yet are frequently under-utilized. This clinical consensus statement provides a diagnostic framework for general practitioners and non-cardiology community-based physicians to recognize, investigate and risk-stratify patients presenting in the community with possible heart failure.
引用
收藏
页码:1185 / 1198
页数:14
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