慢性心力衰竭诊断和治疗临床实践指南。

Abel A. Pavía-López, J. A. Magaña-Serrano, José A. Cigarroa-López, Adolfo Chávez-Mendoza, J. L. Mayorga-Butrón, Diego Araiza-Garaygordobil, J. B. Ivey-Miranda, Gustavo F. Méndez-Machado, Héctor González-Godínez, L. F. Aguilera-Mora, Antonio Jordán-Ríos, Luis Olmos-Domínguez, Marcos J. Olalde-Román, Emma M. Miranda-Malpica, Zuilma Vázquez-Ortiz, Jorge Rayo-Chávez, A. Mendoza, Manlio F. Márquez-Murillo, Sergio A. Chávez-Leal, Amada Álvarez San Gabriel, Marissa A. Silva-García, Alex D. Pacheco-Bouthiller, Jorge A. Aldrete-Velazco, Carlos A. Guizar-Sánchez, Efraín Gaxiola-López, Arturo Guerra-López, Lourdes Figueiras-Graillet, G. Sánchez-Miranda, G. H. Mendoza-Zavala, Moisés Aceves-García, Adolfo Chávez-Negrete, Marisol Arroyo-Hernández, B. B. Montaño-Velázquez, L. F. Romero-Moreno, María M. Baquero-Hoyos, Liliana Velasco-Hidalgo, A. L. Rodríguez-Lozano, N. E. Aguilar-Gómez, Mario Rodríguez-Vega, Jorge E. Cossío-Aranda
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引用次数: 0

摘要

慢性心力衰竭仍然是影响患者功能和生活质量的主要原因之一,也是造成我国和全世界患者死亡的主要原因之一。墨西哥的高血压、糖尿病和肥胖症等心力衰竭危险因素的发病率很高,因此有必要制定一份循证文件,为参与诊断和治疗这些患者的医疗专业人员提供建议。本文件是墨西哥心脏病学会(SMC)与伊比利亚美洲卫生技术开发与评估机构合作编写的临床实践指南(CPG),目的是根据现有的最佳证据提出建议,并得到跨学科专家小组的同意。本文件符合国际质量标准,如美国医学研究所 (IOM)、美国国家临床卓越研究所 (NICE)、苏格兰指导原则制定校际网络 (SIGN) 和国际指导原则网络 (G-I-N) 所规定的标准。在具有系统文献综述和制定 CPG 经验的方法论专家的支持下,指南制定小组以多学科合作的方式进行了整合。为了就本 CPG 中的每项建议达成充分的共识,我们开发并实施了一种经过修改的德尔菲小组方法。我们希望这份文件能有助于更好地做出临床决策,并成为临床医生在各个临床阶段管理慢性心力衰竭患者的参考依据,从而提高临床护理质量,改善患者的生活质量,减少并发症。
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Clinical practice guidelines for diagnostic and treatment of the chronic heart failure.
Chronic heart failure continues to be one of the main causes of impairment in the functioning and quality of life of people who suffer from it, as well as one of the main causes of mortality in our country and around the world. Mexico has a high prevalence of risk factors for developing heart failure, such as high blood pressure, diabetes, and obesity, which makes it essential to have an evidence-based document that provides recommendations to health professionals involved in the diagnosis and treatment of these patients. This document establishes the clinical practice guide (CPG) prepared at the initiative of the Mexican Society of Cardiology (SMC) in collaboration with the Iberic American Agency for the Development and Evaluation of Health Technologies, with the purpose of establishing recommendations based on the best available evidence and agreed upon by an interdisciplinary group of experts. This document complies with international quality standards, such as those described by the US Institute of Medicine (IOM), the National Institute of Clinical Excellence (NICE), the Intercollegiate Network for Scottish Guideline Development (SIGN) and the Guidelines International Network (G-I-N). The Guideline Development Group was integrated in a multi-collaborative and interdisciplinary manner with the support of methodologists with experience in systematic literature reviews and the development of CPG. A modified Delphi panel methodology was developed and conducted to achieve an adequate level of consensus in each of the recommendations contained in this CPG. We hope that this document contributes to better clinical decision making and becomes a reference point for clinicians who manage patients with chronic heart failure in all their clinical stages and in this way, we improve the quality of clinical care, improve their quality of life and reducing its complications.
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