Τίτλος:
Universal definition and classification of heart failure: a report of
the Heart Failure Society of America, Heart Failure Association of the
European Society of Cardiology, Japanese Heart Failure Society and
Writing Committee of the Universal Definition of Heart Failure
Περίληψη:
In this document, we propose a universal definition of heart failure
(HF) as a clinical syndrome with symptoms and/or signs caused by a
structural and/or functional cardiac abnormality and corroborated by
elevated natriuretic peptide levels and/or objective evidence of
pulmonary or systemic congestion. We also propose revised stages of HF
as: At risk for HF (Stage A), Pre-HF (Stage B), Symptomatic HF (Stage C)
and Advanced HF (Stage D). Finally, we propose a new and revised
classification of HF according to left ventricular ejection fraction
(LVEF). This includes HF with reduced ejection fraction (HFrEF):
symptomatic HF with LVEF <= 40%; HF with mildly reduced ejection
fraction (HFmrEF): symptomatic HF with LVEF 41-49%; HF with preserved
ejection fraction (HFpEF): symptomatic HF with LVEF >= 50%; and HF with
improved ejection fraction (HFimpEF): symptomatic HF with a baseline
LVEF <= 40%, a >= 10 point increase from baseline LVEF, and a second
measurement of LVEF > 40%.
Συγγραφείς:
Bozkurt, Biykem
Coats, Andrew J. S.
Tsutsui, Hiroyuki and
Abdelhamid, Ca Magdy
Adamopoulos, Stamatis
Albert, Nancy and
Anker, Stefan D.
Atherton, John
Boehm, Michael
Butler, Javed
and Drazner, Mark H.
Felker, G. Michael
Filippatos, Gerasimos
and Fiuzat, Mona
Fonarow, Gregg C.
Gomez-Mesa, Juan-Esteban and
Heidenreich, Paul
Imamura, Teruhiko
Jankowska, Ewa A. and
Januzzi, James
Khazanie, Prateeti
Kinugawa, Koichiro
Lam,
Carolyn S. P.
Matsue, Yuya
Metra, Marco
Ohtani, Tomohito and
Piepoli, Massimo Francesco
Ponikowski, Piotr
Rosano, Giuseppe M.
C.
Sakata, Yasushi
Starling, Randall C.
Teerlink, John R.
and Vardeny, Orly
Yamamoto, Kazuhiro
Yancy, Clyde
Zhang,
Jian
Zieroth, Shelley