射血分数正常的心力衰竭.pptVIP

 射血分数正常的心力衰竭 Epidemiology 临床特点 症状和体征：收缩功能不全vs舒张功能不全 病理生理机制 舒张功能不全的压力-容积环 收缩期和舒张期时相 诊断标准 舒张功能不全分期 B型脑钠肽，BNP B型脑钠肽，BNP Summary（总结） DHF is not at all rare and may account for a large number of the hospitalization Clinical and echocardiographic criteria are still imperfect（临床和超声检查标准尚不完善） Incorporation of BNP measurement may increase the accuracy of diagnosis Further evidence of treatment should be available from randomized therapeutic trials Circulation. 2003;107:659-663 Maisel A. S., et al