高血压合并心力衰竭的治疗策略

Treatment Strategy of Hypertension with Heart Failure

高血压已成为慢性心力衰竭(心衰)的主要原因。高血压群体中近50%存在不同程度的心衰,控制高血压可使新发心衰的危险降低近50%。依据左心室射血分数的不同,心衰可分为射血分数减低性心衰和射血分数保留性心衰。合并高血压的不同类型的慢性心衰药物干预策略及临床预后不同。如何解决好血压与心衰的关系,分类管理好射血分数减低性心衰与射血分数保留性心衰血压的治疗及预防,具有十分重要的临床意义。

Hypertension has become a major cause of chronic heart failure. Nearly 50% of the hypertension group has different degrees of heart failure. Controlling hypertension can reduce the risk of new onset heart failure by nearly 50%. According to the difference of left ventricular ejection fraction,heart failure can be divided into HF-REF and HF-PEF. Drug intervention strategies and clinical outcomes are different in different types of chronic heart failure with high blood pressure. It is very important how to deal with the relationship between blood pressure and heart failure and the classification management of HF-PEF and HF-REF with hypertension.