充血性心力衰竭患者血脂与右心室容量超负荷的关系.pdf

英文摘要 The betweenand ventricularvolume relationshiplipidsright overloadin heartfailure congestive ABSTRACT a clinical is objective：As hemodynamicdisorder,CHF complex characterized overload．Therelati- failure，volume byprogressivepump betweenand from onship lipidscoronaryarterydisease，bothpathogenesis toriskdeterminationandfromtreatmenttoclinical been outcomes，has wellestablishedinthe three isnotthecase past decades．Paradoxically,this betweenandheart iswell that failure．It documented lipids hyperlipidemia isassociatedwith riskof ofheart development higher failure．Ironically, cholesterollevelsassociatedwith in high are beaeroutcomesheartfailure． This isdefmedasthe andthe phenomenon epidemiologicparadox mechanismsthe arenot understood．Itiswell underlyingphenomenonfully thatvenous duetovolumeoverloadcouldworsen recognized congestion renal filtrationin heartfailure． function，and impairglomerular congestive Evidence thatvenous of suggests water, congestionimpairsabsorption and i