Evaluation of Functional Capacity of Patients with Congestive Heart Failure
Evaluation of Functional Capacity of Patients with Congestive Heart Failure
复制标题
充血性心力衰竭患者的功能能力评估
DOI：
10.1007/978-4-431-68219-6_19
复制
发表时间：
1992
影响因子：
5
通讯作者：
K. Miyagi
中科院分区：
文献类型：
--
作者：
S. Sasayama;H. Asanoi;S. Ishizaka;K. Miyagi
传统上，心力衰竭的临床综合征被视为一种病理生理状态，其中心室性能下降并导致与低心输出量和左心室充盈压升高相关的症状。通过血流动力学评估来评估心力衰竭患者似乎是合乎逻辑的，然而，衰竭心脏的血流动力学测量并不总是异常的。最近，心力衰竭被定义为一种综合征，其中心脏功能障碍与运动耐量降低、室性心律失常高发生率和预期寿命缩短有关。
Traditionally, the clinical syndrome of heart failure has been viewed as a pathophysiologic state in which ventricular performance is depressed and leads to symptoms related to low cardiac output and elevated left ventricular filling pressure. It would seem logical to assess the patients with heart failure by hemodynamic evaluation, however, hemodynamic measures are not always abnormal in the failing heart. More recently, heart failure has been defined as a syndrome in which cardiac dysfunction is associated with reduced exercise tolerance, a high incidence of ventricular arrhythmias and shortened life expectancy.