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急性左心力衰竭住院治疗后发生心力衰竭恶化(WHF)的患者临床预后差,WHF事件发生时间和WHF治疗强度与预后的关系尚不明确。在PROTECT试验的2033例AHF患者中,研究者调查了WHF发生的时间和治疗的强度,以及随后的临床结局。WHF的定义源于标准的医生评估。早期WHF定义为第2~3天发生的WHF,晚期WHF为第4~7天。低强度治疗包括再次应用/加大利尿剂或血管扩张剂剂量。高强度治疗包括应用强心剂、升压药、正性肌力-血管扩张药或机械支持治疗。结局包括60 d死亡或心血管/肾脏疾病住院以
The poor prognosis of patients with worsening heart failure (WHF) after hospitalization for acute left heart failure, and the relationship between the duration of WHF events and the intensity of WHF treatment and prognosis are not yet known. In 2033 patients with AHF in the PROTECT trial, the investigators investigated the timing of WHF onset and the intensity of treatment, followed by clinical outcomes. The definition of WHF stems from the standard doctor’s assessment. Early WHF was defined as WHF occurring on days 2 to 3, and late WHF was on days 4 to 7. Low intensity treatment includes reapplication / augmentation of diuretic or vasodilator doses. High intensity treatment includes the use of cardiotonic agents, vasopressors, inotropic agents - vasodilators or mechanical support. Outcomes included 60-day death or hospitalization for cardiovascular / kidney disease