实用心脑肺血管病杂志2026，Vol.34Issue(9)：1-6,6.DOI:10.12114/j.issn.1008-5971.2026.00.225
《第二版心力衰竭通用定义(2026)》解读
Interpretation of the Second Universal Definition of Heart Failure(2026)
摘要
Abstract
In 2026,the American Heart Association,American College of Cardiology,European Society of Cardiology,and World Heart Federation jointly published the Second Universal Definition of Heart Failure(2026).The updated document moves away from rigid left ventricular ejection fraction(LVEF)cutoffs for defining heart failure phenotypes and integrates assessment by incorporating clinical evidence.It also proposes a classification of heart failure causes independent of heart failure phenotype,and further clarifies the clinical terminology of improvement,remission,recovery,worsening,and decompensation and its definitions.This article mainly interprets the Second Universal Definition of Heart Failure(2026)focusing on the universal definition of heart failure,heart failure staging and phenotypic identification,etiological classification of heart failure,clinical terminology,and dynamic management,and analyzes its application value in diagnostic expression,tiered diagnosis and treatment,and standardized clinical research variables in the clinical practice in China.关键词
心力衰竭/左心室射血分数/病因分类/临床术语Key words
Heart failure/Left ventricular ejection fraction/Etiologic classification/Clinical terminology分类
医药卫生引用本文复制引用
谭江山,李欣琪,谭明胜,郭婷婷,华潞..《第二版心力衰竭通用定义(2026)》解读[J].实用心脑肺血管病杂志,2026,34(9):1-6,6.基金项目
国家自然科学基金资助项目(82500078) （82500078）
中央高水平医院临床科研项目(2025-GSP-QN-27) （2025-GSP-QN-27）
