中国成人心力衰竭超声心动图规范化检查专家共识

Consensus for Standard Assessment by Echocardiography in Chinese Adults With Heart Failure

心力衰竭是多种原因导致心脏结构和(或)功能的异常改变,使心室收缩和(或)舒张功能发生障碍,从而引起的一组复杂临床综合征。我国心力衰竭患病率呈持续升高趋势。作为评估心脏结构和功能的首选方法,超声心动图可提供关于心腔容积、心室收缩和舒张功能、室壁厚度、瓣膜功能、肺动脉高压、心包积液和心力衰竭病因的即时信息。为帮助临床医生对心力衰竭作出快速而规范的诊断和评估,促进心力衰竭相关的临床和科研工作的深入发展,建立心力衰竭超声心动图规范化检查共识已迫在眉睫。本共识的建立对于心力衰竭诊断与鉴别诊断、危险分层、治疗指导、预后评估和疾病管理均具有重要的临床意义。

Heart failure is a complex clinical syndrome that occurs as the end result of ventricular systolic and/or diastolic dysfunction.These dysfunctions result from abnormal changes in cardiac structure and/or function caused by a variety of etiologies.The prevalence of heart failure in China is increasing.Echocardiography is the preferred method for assessing cardiac structure and function,and provides immediate information on chamber volumes,ventricular systolic and diastolic function,wall thickness,valve function,pulmonary hypertension,and the presence of pericardial effusion,while contributing to information on etiology.In order to help clinicians to make rapid and standard diagnosis and evaluation of heart failure,and to promote the in-depth development of clinical and scientific research related to heart failure,it is extremely urgent to establish consensus on standard examination.The establishment of this consensus has important clinical significance for the diagnosis and differential diagnosis,risk stratification,treatment,prognosis evaluation and disease management of heart failure.