心力衰竭:
guideline-directed medical therapy and educating on earlier diagnosis can make a difference

心 failure (HF) usually is a chronic, long-term condition that worsens over time1. It affects nearly 64 million people globally2 and although the outlook varies from case to case approximately half will die within five years of diagnosis3. Despite significant advances in treatment and prevention, people living with HF continue to face unacceptably high rates of hospitalisation and death, along with a progressive, debilitating decline in their capacity for physical activity4-6. These physical symptoms limit patients’ daily activities and can result in poor quality of life7.

在澳门葡京网赌游戏, we are dedicated to elevating patient voices and experiences, advocating for improvements in the management of HF care.

“I wish I would’ve known about heart disease beforehand. It’s not something people talk about and it’s the number one killer among women.”

艾琳HF患者

Why are earlier diagnosis and  the quick adoption of guideline-directed medical therapy important ?

向艾琳学习, who shares her first-hand experience as a HF患者, highlighting how an earlier diagnosis may have been helpful to manage her condition.

We also spoke with Helen Yeh, Vice President, Cardiovascular, Renal & 新陈代谢(CVRM), 澳门葡京赌博游戏 Medical, 澳门葡京网赌游戏, who underlines the importance of implementing guideline-directed medical therapy (GDMT) as soon as possible, given the severity of this chronic disease and the high risk of death, and the key opportunity to proactively use all latest tools available to diagnose HF.

Professor Giuseppe Rosano, Professor of Cardiology and Consultant Cardiologist at St. George's Hospital NHS Trust University of London, emphasizes how the 2021 European Society of Cardiology (ESC) guideline updates have changed the diagnosis and treatment paradigm in acute and chronic HF and some of the barriers that may be hindering the implementation of these updates into practice.

参考文献

  1.   Cleveland Clinic (互联网). 心 failure; [cited 2022 May 11] Available from: http://my.clevelandclinic.org/health/diseases/17069-heart-failure-understanding-heart-failure 
  2.  Vos T，等. 全球, 区域, 全国发病率, 患病率, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: A systematic analysis for the 全球 Burden of Disease Study 2016. 《澳门葡京赌博游戏》 2017; 390(10100):1211–59.
  3.  Mozaffarian D等. 心 disease and stroke statistics—2016 update. 循环. 2016; 133(4):e38–360.
  4. Savarese G，等. 全球 Public Health Burden of 心 Failure. 卡故障. 2017;3(1):7-11.
  5. 梅奥诊所[互联网]. 心 failure; 2021 [cited 2022 May 11]. Available from: http://www.mayoclinic.org/diseases-conditions/heart-failure/symptoms-causes/syc-20373142.
  6. 世界心脏联合会. (互联网). Accelerate Change Together: 心 Failure Gap Review; 2020 [cited 2022 May 11]. Available from: http://world-heart-federation.org/wp-content/uploads/HF-Gap-Review-Final.pdf.
  7. 许S等. “Quality of life in patients with heart failure: ask the patients.” 心 & lung : the journal of critical care 卷. 38,2 (2009): 100-8. doi: 10.1016/j.hrtlng.2008.04.002

Veeva ID: Z4-44015 

Date of preparation: May 2022

tags

  • 科学