中国循环杂志2023年4月第38卷第4期（总第298期）Chinese Circulation Joumal.April..2023.Vol.38No.4(Serial No.298)375指南与共识射血分数保留的心力衰竭诊断与治疗中国专家共识2023射血分数保留的心力衰竭诊断与治疗中国专家共识制定工作组摘要射血分数保留的心力衰竭(HFEF)在心力衰竭患者中所占比例接近50%，住院率和病死率与射血分数降低的心力衰竭(HFEF)相当。为更好地掌握对HFpEF的认识和新进展，规范HFpEF的诊断与治疗，中国医师协会心血1管内科医师分会心力衰竭学组联合中国心衰中心联盟专家委员会，组织专家根据国内外最新研究结果，参考相关指南，结合我国国情及临床实践，制定了基于循证医学证据的HF正F诊断与治疗专家共识。本共识以推荐意见的分级评估、制定及评价(GRADE)方法为基础，采用提出和回答HFpEF诊断与治疗中存在的突出问题的方式呈现科学证据和专家意见，内容涵盖了HFEF的分型、诊断与治疗流程、病因与合并症筛查、康复管理等，可为我国临床医师早期诊治和规范化管理HFpEF提供指导。关键词心力衰竭；射血分数保留；诊断；治疗；共识Diagnosis and Treatment of Heart Failure With Preserved Ejection Fraction:Chinese Expert Consensus2023Chinese Expert Consensus Working Group on Diagnosis and Treatment of Heart Failure With Preserved Ejection FractionCo-corresponding Authors:ZHOU Jingmin,Email:zhou.jingmin@zs-hospital .sh.cn;YANG Jiefu,Email:yangjiefu2011@126.comAbstractHeart failure with preserved ejection fraction (HFpEF)accounts for nearly 50%of patients with heart failure,andthe prognosis is as poor as that of heart failure with reduced ejection fraction (HFrEF).In order to update the knowledgeon HFpEF and to standardize the diagnosis and treatment of patients with HFpEF,the Heart Failure Core Group of theCardiovascular Physicians Branch of the Chinese Medical Doctor Association and the Expert Committee ofthe Chinese HeartFailure Center Alliance developed this expert consensus based on latest progress,China's national conditions and currentstatus of clinical practice.This consensus employs the grading of recommendations assessment,development and evaluation(GRADE)method and presents evidence and expert opinions in the way of raising and answering prominent questions inthe diagnosis and treatment of HFpEF.It covers the phenotyping of HFpEF,diagnosis and treatment process,etiology andcomorbidities screening,as well as rehabilitation management.The consensus might provide useful guidance for the earlydiagnosis and standardized management of patients with HFpEF in China.Key words:heart failure;preserved ejection fraction;diagnosis;treatment,consensusFunding:National Key Research and Development Plan (2018YFE0103000);Scientific Research Project of Beijing HealthCommission Capital Health Development(2022-1-4052)(Chinese Circulation Journal,2023,38:375.)心力衰竭是各种原因导致心脏结构和（或）功起的一组复杂临床综合征。近年来，全球各大指能改变，使心脏收缩和（或）舒张功能障碍，从而引南均根据左心室射血分数(LVEF)将心力衰竭分为基金项目：国家重点研发计划(2018YFE0103000):北京卫生健康委员会首都卫生发展科研专项（首发2022-1-4052）通信作者：周京敏Emil:zhou.jingmin@zs-hospital.shen:杨杰孚Emil:yangjiefu20I1@126.com中图分类号：R54文款标识码：C文章编号：1000-3614(2023)04-0375-19D0L10.39696.ism.1000-3614.2023.04.001
