维持血清离子平衡,改善心力衰竭患者预后

Maintain serum ions homeostasis to improve the prognosis of patients with heart failure

心力衰竭(心衰)的发生发展是一个复杂的病理生理过程,血清离子平衡紊乱在这个过程中发挥重要作用,与心衰的预后密切相关。维持心衰患者血清离子平衡是心衰管理中的重要部分。本共识结合国内外最新研究结果以及我国实践经验,从血清钾离子紊乱(低钾血症、高钾血症)、血清钠离子紊乱(低钠血症、高钠血症)、血清镁离子紊乱(低镁血症、高镁血症)以及铁离子紊乱(铁缺乏、铁超载)的管理等几个方面进行介绍,旨在指导和规范我国心衰患者的血清离子平衡管理,从而改善心衰患者预后。

The development of heart failure (HF) is a complex pathophysiological process in which disturbances of serum ions may play an important role and are closely related to the prognosis of patients with HF. Thus, maintenance of serum ions homestasis is of great importance in the holistic managementin of patients with HF. This expert consensus is developed in combination with the updated research results home and abroad as well as the practical experience of our country, from the aspects of serum potassium disorder (hypokalemia, hyperkalemia), serum sodium disorder (hyponatremia, hypernatremia), serum magnesium disorder (hypomagnesemia, hypermagnesemia) and iron ion disorder (iron deficiency, iron overload), with the aim to guide and standardize the management of serum ions homeostasis in HF, so as to improve the prognosis of patients with HF in China.