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iCARDIO Alliance global implementation guidelines on heart failure 2025

2025年iCARDIO联盟全球心力衰竭管理实施指南
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摘要 This document is about heart failure(HF),including acute and chronic heart failure,heart failure with reduced ejection fraction and heart failure with preserved ejection fraction as well as cardiomyopathies.Context-specific recommendations tailored to individual patient needs are highlighted providing a thorough evaluation of the risks,benefits,and overall value of each therapy,aiming to establish a standard of care that improves patient outcomes and reduces the burden of hospitalization in this susceptible population.These guidelines provide evidence-based recommendations that represent a group consensus considering many other published guidelines that have reviewed many of the issues discussed here,but they also make new recommendations where new evidence has recently emerged.Most importantly these guidelines also provide recommendations on a number of issues where resource limitations may put constraints on the care provided to HF patients.Such"economic adjustment"recommendations aim to provide guidance for situations when"Resources are somewhat limited"or when"Resources are severely limited".Hence,this document presents not only a comprehensive but also concise update to HF management guidelines thereby aiming to provide a unified strategy for the pharmacological,non-pharmacological,invasive and interventional management of this significant global health challenge that is applicable to the needs of healthcare around the globe. 本指南涵盖急慢性心力衰竭、射血分数降低的与射血分数保留的心力衰竭以及心肌病的诊疗,并根据患者个体化需求提出分层建议,权衡每种治疗方式的风险、获益及成本效益,以降低住院负担并改善预后。本指南基于既往已发表指南及共识,同时涵盖了近期更新的临床证据,特别针对资源有限地区(“资源部分受限”或“资源严重受限”)提出适应性调整方案。本指南内容涵盖心力衰竭的预防、诊断、药物治疗、器械治疗、手术/介入治疗及合并症管理。此外,本指南强调多学科协作、患者教育及个性化治疗的重要性,以应对不同医疗环境下的实践挑战。
作者 Vijay Chopra Muhammad Shahzeb Khan Magdy Abdelhamid William T.Abraham Amir Offer Stefan D.Anker John J.Atherton Fernando Bacal Ralph Stephan von Bardeleben Brito Dulce Lucrecia Maria Burgos Javed Butler Maria Rosa Costanzo Albertino Damasceno Justin A.Ezekowitz Ishaque Hameed Sivadasanpillai Harikrishnan Tiny Jaarsma Anuradha Lala Ileana L.Piña Clara Saldarriaga Sim David John R.Teerlink Nqoba Tsabedze Hiroyuki Tsutsui Yu Jing Zhang Yuhui Mohammad Zubaid Nikhil Balankhe Juan Esteban Gomez-Mesa James L.Januzzi Marvin Konstam Rhonda Monroe Elijah Ogola Vinayagam Palaniappan Mark C.Petrie Fausto J.Pinto Girish C.Rajadhyaksha Amina Rakisheva Carlos E.Ramos Victor Rossel Sato Naoki P.Christian Schulze Andrew Sindone Hadi N.Skouri Harriette G.C.Van Spall AistėŠtaraitė Lynne Warner Stevenson Kadhim Sulaiman Tzung-Dau Wang Michael Böhm Andrew J.S.Coats Shelley Zieroth
机构地区 Heart Failure Programme and Research Baylor Scott and White Research Institute Faculty of Medicine Division of Cardiovascular Medicine and The Davis Heart and Vascular Research Institute Heart Institute Department of Cardiology(CVK)of German Heart Center Charité German Centre for Cardiovascular Research(DZHK)partner site Berlin University of Queensland Faculty of Medicine Heart Institute(InCor) Hospital Israelita Albert Einstein Department of Cardiology Cardiology Department Heart Failure Department of Medicine Midwest Cardiovascular Institute Faculty of Medicine University of Alberta Department of Medicine.MedStarHealth Department of Cardiology Department of Health Mount Sinai Fuster Heart Hospital Thomas Jefferson University Clinica CardioVID National Heart Centre Singapore Section of Cardiology Division of Cardiology International University of Health and Welfare Heart Failure Center Heart Failure Center Department of Medicine Department of Medicine and Critical Care Medicine Servicio de Cardiologia Divisionof Cardiology Tufts Medical Center Better Outcomes Optimal Scientific Therapies(BOOST) Department of Clinical Medicine and Therapeutics Dr.V.Palaniyappen's Diabetes Specialities Centre School of Cardiovascular and Metabolic Health Centro Academico de Medicina de Lisboa Department of Medicine Cardiology Department Instituto Nacional Cardiopulmonar Council of Heartt Failure and Pulmonary Hypertension Hospital del Salvador/Facultyy of Medicine Department of Cardiovascular Medicine Department of Internal MedicineⅠ Heart Failure Unit and Department of Cardiac Rehabilitation Cardiology Division Cardiology Division Department of Medicine Clobal Heart Hub Vanderbilt University Medical School National Heart Center Cardiovascular Center and Division of Cardiology Universitatsklinikum des Saarlandes Heart Research Institute University of Manitoba
出处 《中华心力衰竭和心肌病杂志(中英文)》 2025年第3期179-206,共28页 Chinese Journal of Heart Failure and Cardiomyopathy
关键词 Heart failure Chronic heart failure Acute heart failure THERAPY GUIDELINES iCARDIO Alliance 心力衰竭 慢性心力衰竭 急性心力衰竭 治疗 指南 iCARDIO联盟
分类号 R541.6 [医药卫生—心血管疾病]
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参考文献1

  • 1国家心血管病中心,国家心血管病专家委员会心力衰竭专业委员会,中国医师协会心力衰竭专业委员会,中华心力衰竭和心肌病杂志编辑委员会,张健,张宇辉,黄峻,张抒扬,王现强,周蕾.国家心力衰竭指南2023[J].中华心力衰竭和心肌病杂志（中英文）,2023,7(4):215-311. 被引量：158

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中华心力衰竭和心肌病杂志(中英文)
2025年 第3期

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