常规临床实践中住院心力衰竭患者的临床及功能特点

V. Tseluyko, A. Lukyanenko, L. Yakovleva
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摘要

目的:提供心衰(HF)住院患者的临床和功能特征的资料和方法。我们研究了2018年8月至2019年9月期间连续入住城市临床医院n8的150名患者的住院卡。124例(80.6%)诊断为HF的患者被选为未来的分析对象。结果和讨论。在检查的HF患者中,89例(71.8%)为HF期ІІА,18例(14.5%)为IIB期,17例(13.7%)为i期。23例(18.5%)患者左心室射血分数(LVEF)低于40%,101例(81.5%)患者LVEF保存。男性73例(58.9%),女性51例(41.1%)。女性比男性年龄大,更容易患II期动脉高血压(AH),而男性更容易患3期动脉高血压。大多数女性心衰伴lvef保留。大多数HF患者保留LVEF,这可能是在未进行NT-proBNP评估的情况下HF高诊断的结果。在保留LVEF HF的患者组中,19.8%的患者EF在40 - 49%之间,20.8%的患者LVEF超过62%。保留LVEF HF患者最常见的合并症是AH(88.1%)、冠状动脉疾病(77.2%)和心房颤动(29.4%)。
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Clinical and functional characteristics of hospitalized patients with heart failure in the routine clinical practice
The aim – to provide сlinical and functional characteristics of patients with heart failure (HF) admitted to the cardiologic clinic Materials and methods. We studied 150 in-patient cards of the patients who were consecutively admitted to City Clinical Hospital N 8 between August 2018 and September 2019. 124 (80.6 %) patients who had the diagnosis of HF were selected for the future analysis.Results and discussion. Among the examined HF patients, 89 (71.8 %) had HF stage ІІА,18 (14.5 %) had stage IIB and 17 (13.7 %) had stage I. 23 (18,5 %) of patients had left ventricle ejection fraction (LVEF) below 40 %, 101 (81.5 %) had preserved LVEF. 73 (58.9 %) of examined patients with HF were male, 51 (41.1 %) were female. Women were elder then men and were more likely to have stage II arterial hypertension (AH) while men were more likely to have stage 3 AH. Most females had HF with preserved LVEF.Conclusions. Most patients with HF have preserved LVEF which can be the result of HF hyperdiagnistics in the situation of missing NT-proBNP assessment. In the group of patients with preserved LVEF HF 19.8 % of patients have EF of 40–49 % while 20.8 % have LVEF over 62 %. The most common comorbidity in patients with preserved LVEF HF was AH (88.1 %), coronary artery disease (77.2 %), atrial fibrillation (29.4 %).
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