Cardiovascular and noncardiovascular comorbidities in patients with chronic heart failure

被引：60

作者：

Metra, Marco ^{[1
]}

Zaca, Valerio ^{[2
]}

Parati, Gianfranco ^{[3
]}

Agostoni, Piergiuseppe ^{[4
,5
,6
]}

Bonadies, Maria ^{[7
]}

Ciccone, Marco ^{[8
]}

Cas, Alessandra Dei ^{[9
]}

Iacoviello, Massimo ^{[10
]}

Lagioia, Rocco ^{[11
]}

Lombardi, Carolina ^{[3
]}

Maio, Raffaele ^{[12
]}

Magri, Damiano ^{[4
]}

Musca, Giuseppe ^{[13
]}

Padeletti, Margherita ^{[2
]}

Perticone, Francesco ^{[12
]}

Pezzali, Natalia ^{[1
]}

Piepoli, Massimo ^{[14
]}

Sciacqua, Angela ^{[12
]}

Zanolla, Luisa ^{[15
]}

Nodari, Savina ^{[1
]}

Filardi, Pasquale Perrone ^{[16
]}

Cas, Livio Dei ^{[1
]}

机构：

[1] Univ Brescia, Dept Expt & Appl Med, I-25123 Brescia, Italy

[2] Santa Maria Scotte Hosp, Cardiovasc & Thorac Dept, Div Cardiol, Siena, Italy

[3] Univ Milano Bicocca, Dept Clin Med & Prevent, Milan, Italy

[4] IRCCS, Ctr Cardiol Monzino, Milan, Italy

[5] Univ Milan, Inst Cardiol, Milan, Italy

[6] Univ Washington, Dept Resp Dis, Seattle, WA 98195 USA

[7] Univ Roma La Sapienza, Dept Dynam & Clin Psychol, Rome, Italy

[8] Univ Bari, Inst Cardiovasc Dis, Bari, Italy

[9] Univ Parma, Dept Internal Med & Biomed Sci, I-43100 Parma, Italy

[10] Univ Bari, Cardiol Unit, Emergency & Transplantat Dept, Bari, Italy

[11] S Maugeri Fdn, Div Cardiol & Cardiac Rehabil, IRCCS, Inst Cassano Murge, Bari, Italy

[12] Magna Graecia Univ Catanzaro, Cardiovasc Dis Unit, Dept Expt & Clin Med, Catanzaro, Italy

[13] Div Internal Med Cetraro ASP Cosenza, Cosenza, Italy

[14] Guglielmo da Saliceto Hosp, Dept Cardiac, Heart Failure Unit, Piacenza, Italy

[15] Azienda Hosp Ist Ospitalieri Verona, Clin Div Cardiol, Verona, Italy

[16] Univ Naples Federico II, Dept Internal Med Cardiovasc & Immunol Sci, Naples, Italy

来源：

JOURNAL OF CARDIOVASCULAR MEDICINE | 2011年 / 12卷 / 02期

关键词：

chronic heart failure; comorbidities; prognosis; therapy; POSITIVE AIRWAY PRESSURE; IDIOPATHIC DILATED CARDIOMYOPATHY; VENTRICULAR SYSTOLIC DYSFUNCTION; OBSTRUCTIVE PULMONARY-DISEASE; PRESERVED EJECTION FRACTION; BRAIN NATRIURETIC PEPTIDE; WORSENING RENAL-FUNCTION; CENTRAL SLEEP-APNEA; DIABETES-MELLITUS; COGNITIVE IMPAIRMENT;

D O I：

10.2459/JCM.0b013e32834058d1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A broad spectrum of concomitant disorders may complicate heart failure adding further morbidity and mortality risk. Comorbidities may be subdivided into cardiovascular and noncardiovascular. The first group includes hypertension, coronary artery disease, peripheral artery disease, cerebrovascular disease, arrhythmias and valvular heart disease. Noncardiovascular comorbidities include respiratory, endocrine, metabolic, nutritional, renal, hematopoietic, neurological as well as musculoskeletal conditions. In recent years, advances in the treatment of heart failure have not been attended by important changes in management of its comorbidities. They now seem to be major causes of the poor prognosis of heart failure patients. In this review we provide an updated summary of the epidemiological, pathophysiological and clinical characteristics of comorbidities as well as their potential impact for heart failure treatment. J Cardiovasc Med 12:76-84 (C) 2011 Italian Federation of Cardiology.

引用

页码：76 / 84

页数：9

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