Understanding the epidemic of heart failure: past, present, and future.
Understanding the epidemic of heart failure: past, present, and future.
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DOI：
10.1007/s11897-014-0220-x
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发表时间：
2014-12
影响因子：
--
通讯作者：
Roger, Veronique L
中科院分区：
文献类型：
--
作者：
Dunlay, Shannon M;Roger, Veronique L
心力衰竭（HF）是一个主要的公共卫生问题，影响着500多万美国人和全球2300多万患者。心衰的流行病学正在发展。数据表明，HF发病率在20世纪90年代中期达到顶峰，此后有所下降。心衰诊断后生存率提高，导致患病率增加。病例组合也在发生变化，因为保留射血分数的HF患者比例越来越高，多病越来越普遍。诊断后，心衰可有严重的相关发病率。心衰患者的住院治疗仍然是频繁和昂贵的，尽管由于预防措施，住院率可能会下降。心衰患者对熟练护理机构护理的需求有所增加。缓和医学在晚期心衰患者护理中的作用也在不断发展，因为我们知道如何最好地照顾这一有大量症状负担的人群。
Heart failure (HF) is a major public health problem affecting more than 5 million Americans and more than 23 million patients worldwide. The epidemiology of HF is evolving. Data suggests that the incidence of HF peaked in the mid 1990s and has since declined. Survival after HF diagnosis has improved, leading to an increase in prevalence. The case mix is also changing, as a rising proportion of patients with HF have preserved ejection fraction and multimorbidity is increasingly common. After diagnosis, HF can have a profound associated morbidity. Hospitalizations in HF remain both frequent and costly, though they may be declining as a result of preventive efforts. The need for skilled nursing facility care in HF has risen. The role of palliative medicine in the care of patients with advanced HF is evolving as we learn how to best care for this population with a large symptom burden.