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聚焦C期心力衰竭及其合并症的管理—2017 ACC/AHA/HFSA 心力衰竭管理指南更新解读

2017-11-30 中国循环杂志.2017,32(z2):29-32.

2017 年4 月,美国心脏病学会(ACC)、美国心脏协会(AHA)以及美国心力衰竭(心衰)学会(HFSA)联合更新发布了心衰管理指南(以下简称新指南)。该指南对2013 版ACCF/AHA 心衰指南进行了更新,强调在临床实践中应遵循指南指导下的管理和治疗(guideline-directed management and therapy,GDMT),包括指南指导下的临床评估、诊断试验以及药物和非

中文标题:

聚焦C期心力衰竭及其合并症的管理—2017 ACC/AHA/HFSA 心力衰竭管理指南更新解读

发布机构:

发布日期:

2017-11-30

简要介绍:

2017 年4 月,美国心脏病学会(ACC)、美国心脏协会(AHA)以及美国心力衰竭(心衰)学会(HFSA)联合更新发布了心衰管理指南(以下简称新指南)。该指南对2013 版ACCF/AHA 心衰指南进行了更新,强调在临床实践中应遵循指南指导下的管理和治疗(guideline-directed management and therapy,GDMT),包括指南指导下的临床评估、诊断试验以及药物和非药物治疗。新指南更新的内容聚焦于生物标志物、C 期心衰的药物新治疗以及重要合并症的管理。本文对其更新要点做一简要解读。

作者: 南京医科大学第一附属医院心脏科 李小荣 李新立

 

拓展指南:心力衰竭相关指南:

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聚焦C期心力衰竭及其合并症的管理—2017 ACC/AHA/HFSA 心力衰竭管理指南更新解读
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  1. [GetPortalCommentsPageByObjectIdResponse(id=289138, encodeId=60d2289138a0, content=好好学习天天向上, beContent=null, objectType=guider, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Mon Feb 19 09:40:00 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289128, encodeId=5dd9289128b5, content=了解了解.学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=149, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Mon Feb 19 09:22:19 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289109, encodeId=de3628910967, content=好好好好好好好好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Mon Feb 19 08:20:16 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289099, encodeId=f3d2289099e8, content=学习了.获益匪浅!感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/17/0ed05bbc4eb124766d2a39104932ec4e.jpg, createdBy=5afd2091871, createdName=情途末路, createdTime=Mon Feb 19 07:39:47 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289076, encodeId=9b9e2890e6e6, content=^_^^_^^_^, beContent=null, objectType=guider, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Mon Feb 19 06:09:45 CST 2018, time=2018-02-19, status=1, ipAttribution=)]
    2018-02-19 忠诚向上

    好好学习天天向上

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=289138, encodeId=60d2289138a0, content=好好学习天天向上, beContent=null, objectType=guider, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Mon Feb 19 09:40:00 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289128, encodeId=5dd9289128b5, content=了解了解.学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=149, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Mon Feb 19 09:22:19 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289109, encodeId=de3628910967, content=好好好好好好好好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Mon Feb 19 08:20:16 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289099, encodeId=f3d2289099e8, content=学习了.获益匪浅!感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/17/0ed05bbc4eb124766d2a39104932ec4e.jpg, createdBy=5afd2091871, createdName=情途末路, createdTime=Mon Feb 19 07:39:47 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289076, encodeId=9b9e2890e6e6, content=^_^^_^^_^, beContent=null, objectType=guider, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Mon Feb 19 06:09:45 CST 2018, time=2018-02-19, status=1, ipAttribution=)]
    2018-02-19 1dd8c52fm63(暂无匿称)

    了解了解.学习学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=289138, encodeId=60d2289138a0, content=好好学习天天向上, beContent=null, objectType=guider, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Mon Feb 19 09:40:00 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289128, encodeId=5dd9289128b5, content=了解了解.学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=149, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Mon Feb 19 09:22:19 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289109, encodeId=de3628910967, content=好好好好好好好好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Mon Feb 19 08:20:16 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289099, encodeId=f3d2289099e8, content=学习了.获益匪浅!感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/17/0ed05bbc4eb124766d2a39104932ec4e.jpg, createdBy=5afd2091871, createdName=情途末路, createdTime=Mon Feb 19 07:39:47 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289076, encodeId=9b9e2890e6e6, content=^_^^_^^_^, beContent=null, objectType=guider, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Mon Feb 19 06:09:45 CST 2018, time=2018-02-19, status=1, ipAttribution=)]
    2018-02-19 yjs木玉

    好好好好好好好好

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=289138, encodeId=60d2289138a0, content=好好学习天天向上, beContent=null, objectType=guider, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Mon Feb 19 09:40:00 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289128, encodeId=5dd9289128b5, content=了解了解.学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=149, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Mon Feb 19 09:22:19 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289109, encodeId=de3628910967, content=好好好好好好好好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Mon Feb 19 08:20:16 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289099, encodeId=f3d2289099e8, content=学习了.获益匪浅!感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/17/0ed05bbc4eb124766d2a39104932ec4e.jpg, createdBy=5afd2091871, createdName=情途末路, createdTime=Mon Feb 19 07:39:47 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289076, encodeId=9b9e2890e6e6, content=^_^^_^^_^, beContent=null, objectType=guider, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Mon Feb 19 06:09:45 CST 2018, time=2018-02-19, status=1, ipAttribution=)]
    2018-02-19 情途末路

    学习了.获益匪浅!感谢分享

    0

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    2018-02-19 wqkm

    ^_^^_^^_^

    0

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