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射血分数超常的心力衰竭的研究进展

董浩铖 郝潇 安东 李浩翰 李树仁

中国全科医学2025,Vol.28Issue(21):2692-2696,5.
中国全科医学2025,Vol.28Issue(21):2692-2696,5.DOI:10.12114/j.issn.1007-9572.2024.0307

射血分数超常的心力衰竭的研究进展

Research Progress of Heart Failure with Supra-normal Ejection Fraction

董浩铖 1郝潇 2安东 2李浩翰 1李树仁2

作者信息

  • 1. 050017 河北省石家庄市,河北医科大学研究生学院||050000 河北省石家庄市,河北省人民医院心内一科
  • 2. 050000 河北省石家庄市,河北省人民医院心内一科
  • 折叠

摘要

Abstract

More and more studies have proved that heart failure with supra-normal ejection fraction(HFsnEF)is a new heart failure phenotype with different characteristics,but its study is still in the exploratory stage at home and abroad.The critical value of supernormal ejection fraction(snLVEF)is still controversial,but most studies define it as left ventricular ejection fraction>65%;the proportion of elderly and female patients with HFsnEF is higher,with lower natriuretic peptide values and smaller left ventricles,and valvular disease,arrhythmia,and hypertensive heart disease are the main causes of heart failure;and the relationship between HFsnEF and mortality has a gender-dependent nature,possibly due to the prevalence of coronary microvascular disorders in elderly women,coupled with small heart size and high sympathetic excitability,making them more likely to suffer cardiovascular events;the current diagnosis and treatment of HFsnEF still follows the HFpEF approach.By combing the literature,this paper systematically discusses the research progress of HFsnEF,with a view to providing a reference for the in-depth study of HFsnEF.

关键词

心力衰竭/射血分数超常的心力衰竭/射血分数/交感神经/综述

Key words

Heart failure/Heart failure with supra-normal ejection fraction/Ejection fraction/Sympathetic nervous system/Review

分类

医药卫生

引用本文复制引用

董浩铖,郝潇,安东,李浩翰,李树仁..射血分数超常的心力衰竭的研究进展[J].中国全科医学,2025,28(21):2692-2696,5.

中国全科医学

OA北大核心

1007-9572

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