{"id":145594,"date":"2023-12-04T06:30:13","date_gmt":"2023-12-04T06:30:13","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e5%bf%83%e5%8a%9b%e8%a1%b0%e7%ab%ad%e4%b8%ad%e7%9a%84%e5%87%9d%e8%a1%80%e9%9a%9c%e7%a2%8d%ef%bc%9a%e7%97%85%e7%90%86%e7%94%9f%e7%90%86%e5%ad%a6%e5%92%8c%e4%b8%b4%e5%ba%8a%e7%ae%a1%e7%90%86\/"},"modified":"2026-02-05T13:02:58","modified_gmt":"2026-02-05T13:02:58","slug":"coagulation-disorders-in-heart-failure-pathophysiology-and-clinical-management","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/zhcn\/disease-area\/cardiology\/coagulation-disorders-in-heart-failure-pathophysiology-and-clinical-management\/","title":{"rendered":"\u5fc3\u529b\u8870\u7aed\u4e2d\u7684\u51dd\u8840\u969c\u788d\uff1a\u75c5\u7406\u751f\u7406\u5b66\u548c\u4e34\u5e8a\u7ba1\u7406"},"content":{"rendered":"<h2 style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u5fc3\u529b\u8870\u7aed\u4e2d\u7684\u51dd\u8840\u969c\u788d<\/h2>\n<p class=\"text-align-justify\">\u5fc3\u529b\u8870\u7aed (HF) \u662f\u4e00\u79cd\u4e34\u5e8a\u7efc\u5408\u5f81\uff0c\u7531\u5fc3\u810f\u7684\u7ed3\u6784\u6216\u529f\u80fd\u969c\u788d\u5f15\u8d77\uff0c\u4f1a\u5bfc\u81f4\u8fd0\u52a8\u6216\u9759\u606f\u5fc3\u5185\u538b\u5347\u9ad8\u548c\/\u6216\u5fc3\u8f93\u51fa\u91cf\u4e0d\u8db3\u3002\u8fd9\u79cd\u75be\u75c5\u4e0e\u52a8\u8109\u548c\u9759\u8109\u8840\u6813\u4e8b\u4ef6\u7684\u53d1\u751f\u98ce\u9669\u589e\u52a0\u6709\u5173\u3002\u63d0\u9ad8\u4e34\u5e8a\u533b\u5e08\u5bf9\u8fd9\u4e00\u95ee\u9898\u7684\u8ba4\u8bc6\uff0c\u5f00\u5c55\u66f4\u591a\u7814\u7a76\u5e76\u5236\u5b9a\u66f4\u660e\u786e\u7684\u7ba1\u7406\u6307\u5357\uff0c\u53ef\u6709\u52a9\u4e8e\u5bf9 HF \u60a3\u8005\u51dd\u8840\u969c\u788d\u7684\u66f4\u597d\u8bca\u65ad\u548c\u6cbb\u7597\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">HF \u4e2d\u51dd\u8840\u969c\u788d\u7684\u75c5\u7406\u751f\u7406\u5b66<\/h2>\n<p class=\"text-align-justify\">\u6839\u636e\u5de6\u5fc3\u5ba4\u5c04\u8840\u5206\u6570 (LVEF)\uff0cHF \u5206\u4e3a 3 \u4e2a\u4e9a\u578b\uff1a\u5c04\u8840\u5206\u6570\u964d\u4f4e\u578b HF (HFrEF)\uff1b\u5c04\u8840\u5206\u6570\u8f7b\u5ea6\u964d\u4f4e\u578b HF (HFmrEF) \u548c\u5c04\u8840\u5206\u6570\u4fdd\u7559\u578b HF (HFpEF)\u3002\u5404\u4e9a\u578b\u5747\u5177\u6709\u7279\u5b9a\u7684\u4e34\u5e8a\u7279\u5f81\u53ca\u5e38\u89c1\u7684\u5408\u5e76\u75be\u75c5\uff0c\u5176\u8840\u6813\u6813\u585e\u5e76\u53d1\u75c7\u7684\u98ce\u9669\u4ea6\u4e0d\u76f8\u540c [2]\u3002<\/p>\n<p> <img decoding=\"async\" src=\"https:\/\/labinsights.com\/app\/uploads\/2025\/05\/coagulation_disorders_in_heart_failure_-_pathophysiology_and_clinical_management_image_1_ru-RU.jpg\" alt=\".coagulation_disorders_in_heart_failure \" title=\"\"> <\/p>\n<p class=\"text-align-justify\"> HF \u548c\u8840\u6813\u5f62\u6210\u901a\u5e38\u56e0\u591a\u79cd\u539f\u56e0\u5173\u8054\u3002\u9996\u5148\uff0c\u7f3a\u8840\u6027\u5fc3\u810f\u75c5\uff08HF\u7684\u4e3b\u8981\u539f\u56e0\uff09\u901a\u8fc7\u8840\u5c0f\u677f\u6fc0\u6d3b\u548c\u805a\u96c6\uff0c\u800c\u6613\u5f62\u6210\u52a8\u8109\u8840\u6813\u3002\u9759\u8109\u8840\u6813\u6813\u585e (VTE) \u5728 HF \u60a3\u8005\u4e2d\u4e5f\u5f88\u5e38\u89c1\uff0c\u53ef\u589e\u52a0\u5fc3\u6e90\u6027\u6813\u585e\u6027\u5352\u4e2d\u548c\u731d\u6b7b\u7684\u98ce\u9669\u3002\u5f53 HF \u60a3\u8005\u60a3\u6709\u5176\u4ed6\u5408\u5e76\u75c7\uff08\u4f8b\u5982\u5fc3\u623f\u98a4\u52a8 (AF)\uff09\u65f6\uff0c\u8840\u6813\u6813\u585e\u548c\u8111\u5352\u4e2d\u7684\u98ce\u9669\u7279\u522b\u9ad8\u3002\u5728\u65b0\u8fd1\u786e\u8bca HF \u7684\u60a3\u8005\u4e2d\uff0c\u8d85\u8fc7\u4e00\u534a\u60a3\u6709 AF\uff0c\u800c AF \u4e0e HF \u5171\u5b58\u9884\u793a\u7740\u66f4\u9ad8\u7684\u6b7b\u4ea1\u98ce\u9669\u3002<\/p>\n<p> <img decoding=\"async\" src=\"https:\/\/labinsights.com\/app\/uploads\/2025\/05\/coagulation_disorders_in_heart_failure_-_pathophysiology_and_clinical_management_image_2_ru-RU.jpg\" alt=\"coagulation_disorders_in_heart_failure \" title=\"\"> <\/p>\n<p class=\"text-align-justify\"> \u7ef4\u5c14\u8096\u4e09\u8054\u5f81\u7684\u4e09\u5927\u7ec4\u6210\u90e8\u5206\u4e3a\u5185\u76ae\u529f\u80fd\u969c\u788d\u3001\u8840\u6d41\u505c\u6ede\u548c\u9ad8\u51dd\u72b6\u6001\uff0c\u5b83\u4eec\u4e00\u65e6\u51fa\u73b0\u5f02\u5e38\uff0c\u5747\u4f1a\u589e\u52a0 HF \u60a3\u8005\u5bf9\u8840\u6813\u5f62\u6210\u7684\u6613\u611f\u6027\u3002\u7136\u800c\uff0c\u52a8\u8109\u548c\u9759\u8109\u8840\u6813\u5f62\u6210\u7684\u75c5\u56e0\u4e0d\u540c\u3002\u52a8\u8109\u8840\u6813\u5bcc\u542b\u8840\u5c0f\u677f\u5e76\u5728\u9ad8\u526a\u5207\u5e94\u529b\u4e0b\u5f62\u6210\uff0c\u800c\u9759\u8109\u8840\u6813\u5219\u5bcc\u542b\u7ea4\u7ef4\u86cb\u767d\uff0c\u591a\u5728\u8f83\u4f4e\u526a\u5207\u5e94\u529b\u73af\u5883\u4e2d\u5f62\u6210\u3002\u65e0\u8bba HF \u7684\u75c5\u56e0\u53ca\u5176\u5408\u5e76\u75c7\u5982\u4f55\uff0cHF \u60a3\u8005\u5b58\u5728\u7684\u8840\u5c0f\u677f\u529f\u80fd\u7d0a\u4e71\u53ca\u5176\u4e0e\u51dd\u8840\u7ea7\u8054\u7684\u5f02\u5e38\u76f8\u4e92\u4f5c\u7528\uff0c\u5747\u53ef\u4fc3\u8fdb\u8840\u6813\u5f62\u6210 [2]\u3002<\/p>\n<p class=\"text-align-justify\">\u5c3d\u7ba1\u8840\u6813\u6813\u585e\u5e76\u53d1\u75c7\u901a\u5e38\u5c1a\u89c6\u4e3a HF \u60a3\u8005\u7684\u9996\u8981\u95ee\u9898\uff0c\u4f46\u8be5\u75c5\u75c7\u4e0e\u4e25\u91cd\u51dd\u8840\u7d0a\u4e71\u5bc6\u5207\u76f8\u5173 [3]\u3002\u4f8b\u5982\uff0c\u5728 HF \u8bca\u65ad\u6216\u5931\u4ee3\u507f\u540e\u7684\u7b2c\u4e00\u4e2a\u6708\u5185\uff0c\u8111\u5352\u4e2d\u53d1\u751f\u7387\u660e\u663e\u5347\u9ad8\uff0c\u800c\u5728\u6025\u6027\u4e8b\u4ef6\u53d1\u751f\u540e 6 \u4e2a\u6708\u5185\u5219\u9010\u6e10\u4e0b\u964d [4]\u3002HF \u60a3\u8005\u7684\u8840\u6813\u524d\u8868\u578b\u53ef\u80fd\u4e0e\u4ee5\u4e0b\u56e0\u7d20\u6709\u5173\uff1a(1) \u6162\u6027\u7f3a\u6c27\u8bf1\u5bfc\u7684\u5168\u8eab\u708e\u75c7\u53cd\u5e94\uff1b(2) \u8840\u6813\u524d\u5206\u5b50\u6d53\u5ea6\u5347\u9ad8\u6216 (3) \u52a8\u8109\u548c\u9759\u8109\u5185\u76ae\u7ec6\u80de\u529f\u80fd\u5f02\u5e38\u3002<\/p>\n<p> <img decoding=\"async\" src=\"https:\/\/labinsights.com\/app\/uploads\/2025\/05\/coagulation_disorders_in_heart_failure_-_pathophysiology_and_clinical_management_image_3_ru-RU.jpg\" alt=\"coagulation_disorders_in_heart_failure \" title=\"\"> <\/p>\n<p class=\"text-align-justify\"> \u7814\u7a76\u8fd8\u53d1\u73b0\uff0cHF \u662f\u5352\u4e2d\u540e\u6b8b\u75be\u52a0\u91cd\u3001\u518d\u6b21\u4f4f\u9662\u7387\u589e\u52a0\u53ca\u6b7b\u4ea1\u7387\u5347\u9ad8\u7684\u72ec\u7acb\u5371\u9669\u56e0\u7d20\u3002\u5c3d\u7ba1\u5982\u6b64\uff0c\u4ecd\u6ca1\u6709\u660e\u786e\u6307\u5357\u9610\u8ff0\u6297\u51dd\u548c\u6297\u8840\u5c0f\u677f\u6cbb\u7597\u5728\u964d\u4f4e HF \u51dd\u8840\u5f02\u5e38\u76f8\u5173\u7684\u53d1\u75c5\u7387\u548c\u6b7b\u4ea1\u7387\u65b9\u9762\u7684\u4f5c\u7528 [1]\u3002\u56e0\u6b64\uff0cHF \u4e2d\u8840\u6813\u6813\u585e\u5e76\u53d1\u75c7\u98ce\u9669\u7684\u589e\u52a0\u6784\u6210\u4e86\u5e38\u88ab\u4f4e\u4f30\u7684\u4e34\u5e8a\u6311\u6218\uff0c\u56e0\u4e3a HF \u7684\u91cd\u8981\u7279\u5f81\u4e4b\u4e00\u662f\u5b58\u5728\u8840\u6813\u524d\u72b6\u6001\uff0c\u800c\u8fd9\u53ef\u80fd\u8fdb\u4e00\u6b65\u52a0\u91cd\u5176\u53d1\u75c5\u7387\u548c\u6b7b\u4ea1\u7387\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">HF \u4e2d\u51dd\u8840\u969c\u788d\u7684\u4e34\u5e8a\u7ba1\u7406<\/h2>\n<p class=\"text-align-justify\">\u5728 HF \u60a3\u8005\u4e2d\uff0c\u53ef\u89c1\u51dd\u8840\u6fc0\u6d3b\u548c\/\u6216\u8840\u5c0f\u677f\u6fc0\u6d3b\u7684\u6807\u5fd7\u7269\uff0c\u540c\u65f6\u4f34\u6709\u5185\u76ae\u7ec6\u80de\u529f\u80fd\u5f02\u5e38\u548c\u4f4e\u5fc3\u640f\u51fa\u91cf\uff0c\u8fd9\u4e9b\u75c7\u72b6\u5747\u4e0e\u5f02\u5e38\u8840\u6d41\u548c\u8840\u6d41\u6de4\u6ede\u76f8\u5173\u3002\u6b64\u5916\uff0c\u591a\u79cd\u5e38\u89c1\u5408\u5e76\u75c7\u4e5f\u4f1a\u52a0\u5267 HF \u75c5\u60c5\u7684\u590d\u6742\u6027\uff0c\u8fdb\u4e00\u6b65\u589e\u52a0\u8840\u6813\u6813\u585e\u7684\u98ce\u9669\u3002<\/p>\n<p class=\"text-align-justify\">\u5bf9\u4e8e\u65e0\u7981\u5fcc\u8bc1\u7684\u6025\u6027 HF\u00a0\u4f4f\u9662\u60a3\u8005\u4ee5\u53ca\u63a5\u53d7\u957f\u671f\u673a\u68b0\u5faa\u73af\u652f\u6301\u88c5\u7f6e\u7684\u60a3\u8005\uff0c\u5efa\u8bae\u4f7f\u7528\u4f4e\u5206\u5b50\u91cf\u809d\u7d20\u8fdb\u884c\u8840\u6813\u6813\u585e\u9884\u9632\u6cbb\u7597 [1]\u3002\u5728\u8fc7\u53bb\u7684\u5341\u5e74\u4e2d\uff0c\u76f4\u63a5\u53e3\u670d\u6297\u51dd\u5242 (DOAC) \u4e5f\u88ab\u6279\u51c6\u7528\u4e8e\u6cbb\u7597\u548c\u9884\u9632\u975e\u74e3\u819c AF \u60a3\u8005\u7684\u8111\u5352\u4e2d\u548c\u5168\u8eab\u6027\u6813\u585e (SSE)\u3002\u8fd9\u4e9b\u836f\u7269\u53ef\u4f5c\u4e3a\u534e\u6cd5\u6797\u7684\u66ff\u4ee3\u9009\u62e9\uff0c\u4e14\u51fa\u8840\u98ce\u9669\u66f4\u4f4e [3]\u3002<\/p>\n<p class=\"text-align-justify\">AF \u548c HF \u60a3\u8005\u7684\u6297\u51dd\u6cbb\u7597\u88ab\u5e7f\u6cdb\u8ba4\u4e3a\u5bf9\u4e8e\u964d\u4f4e\u6b64\u7c7b\u60a3\u8005\u7684\u9ad8\u8840\u6813\u6813\u585e\u98ce\u9669\u81f3\u5173\u91cd\u8981\u3002ESC \u6307\u5357\u5efa\u8bae\u4f7f\u7528 DOAC \u800c\u975e\u534e\u6cd5\u6797\u6765\u9884\u9632 AF \u60a3\u8005\u7684\u8111\u5352\u4e2d\uff0c\u56e0\u4e3a\u8fd9\u4e9b\u836f\u7269\u540c\u6837\u6709\u6548\uff0c\u5e76\u4e14\u4e34\u5e8a\u8868\u73b0\u66f4\u5b89\u5168\u3002\u7136\u800c\uff0cHF \u60a3\u8005\u5728\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c\u4e2d\u7684\u4ee3\u8868\u6027\u4e0d\u8db3 [3]\u3002<\/p>\n<p class=\"text-align-justify\">\u5728\u60a3\u6709 AF \u7684 HF \u60a3\u8005\u4e2d\uff0c\u65e0\u8bba\u80be\u529f\u80fd\u5904\u4e8e\u4f55\u79cd\u6c34\u5e73\uff0c\u4e0e\u534e\u6cd5\u6797\u76f8\u6bd4\uff0c\u4f7f\u7528\u963f\u54cc\u6c99\u73ed\u548c\u8fbe\u6bd4\u52a0\u7fa4\u7b49 DOAC\uff08\u4f46\u4e0d\u5305\u62ec\u5229\u4f10\u6c99\u73ed\uff09\u4e0e\u66f4\u4f4e\u7684\u603b\u51fa\u8840\u548c\u6b7b\u4ea1\u98ce\u9669\u76f8\u5173\u3002\u5c3d\u7ba1 DOAC \u6cbb\u7597\u7684\u590d\u6742\u6027\u8fdc\u4e0d\u53ca\u534e\u6cd5\u6797\uff0c\u4f46\u5728 HF \u60a3\u8005\u4e2d\u7684\u5e94\u7528\u5e76\u975e\u4e00\u52b3\u6c38\u9038\u3002HF\u60a3\u8005\u80be\u529f\u80fd\u6ce2\u52a8\u5927\uff0c\u6709\u65f6\u9700\u8981\u8c03\u6574 DOAC \u5242\u91cf\uff0c\u4f46\u5728\u5b9e\u8df5\u4e2d\u5f88\u5c11\u8fdb\u884c\u8fd9\u4e9b\u8c03\u6574\u3002\u5728\u63a5\u53d7 DOAC \u6cbb\u7597\u7684\u60a3\u8005\u4e2d\uff0c\u5373\u4fbf\u80be\u529f\u80fd\u4ec5\u6709\u8f7b\u5ea6\u4e0b\u964d\uff0c\u4e5f\u4f1a\u589e\u52a0\u51fa\u8840\u98ce\u9669\uff0c\u8fd9\u51f8\u663e\u4e86\u9700\u8981\u5bc6\u5207\u76d1\u6d4b\u5e76\u9002\u65f6\u8c03\u6574\u7ed9\u836f\u5242\u91cf\u3002<\/p>\n<p> <img decoding=\"async\" src=\"https:\/\/labinsights.com\/app\/uploads\/2025\/05\/coagulation_disorders_in_heart_failure_-_pathophysiology_and_clinical_management_image_4_ru-RU.jpg\" alt=\"coagulation_disorders_in_heart_failure \" title=\"\"> <\/p>\n<p class=\"text-align-justify\"> \u6297\u51dd\u95e8\u8bca\u6216\u4e34\u5e8a\u836f\u5e08\u63d0\u4f9b\u7684\u4e13\u79d1\u7ba1\u7406\uff0c\u4e0e\u66f4\u5408\u7406\u7684 DOAC \u5242\u91cf\u8c03\u6574\u53ca\u60a3\u8005\u7ed3\u5c40\u7684\u6539\u5584\u76f8\u5173\u3002\u8fdb\u4e00\u6b65\u7814\u7a76\u4e0d\u540c\u7814\u7a76\u4e2d\u5fc3\u4e4b\u95f4\u89c2\u5bdf\u5230\u7684\u8bca\u7597\u8868\u73b0\u5dee\u5f02\uff0c\u53ef\u80fd\u4e3a\u8fdb\u4e00\u6b65\u63d0\u5347 DOAC \u6cbb\u7597\u60a3\u8005\u7684\u7167\u62a4\u8d28\u91cf\u63d0\u4f9b\u5951\u673a [4]\u3002  <\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u8fdb\u4e00\u6b65\u7814\u7a76\u7684\u5fc5\u8981\u6027<\/h2>\n<p class=\"text-align-justify\">HF \u7684\u5168\u7403\u60a3\u75c5\u7387\u4e3a 1%-2%\uff0c\u662f\u4e00\u79cd\u4e3b\u8981\u7684\u5168\u7403\u75be\u75c5\uff0c\u9884\u8ba1\u5f71\u54cd 800 \u591a\u4e07\u6210\u5e74\u4eba\uff0c\u9884\u8ba1\u5230 2030 \u5e74\uff0cHF \u76f8\u5173\u603b\u6210\u672c\u5c06\u589e\u52a0\u5230 700 \u4ebf\u7f8e\u5143\u3002 \u5c3d\u7ba1\u8fd1\u5e74\u6765\u5728 HF \u7684\u836f\u7269\u548c\u5668\u68b0\u6cbb\u7597\u65b9\u9762\u53d6\u5f97\u4e86\u5faa\u8bc1\u8fdb\u5c55\uff0c\u4f8b\u5982\u5e94\u7528\u690d\u5165\u5f0f\u5fc3\u810f\u590d\u5f8b\u9664\u98a4\u5668\u548c\u5fc3\u810f\u518d\u540c\u6b65\u6cbb\u7597\uff0c\u4f46 5 \u5e74\u968f\u8bbf\u65f6\u4e0e HF \u76f8\u5173\u7684\u6b7b\u4ea1\u7387\u4ecd\u7136\u5f88\u9ad8\uff0c\u7ea6\u4e3a 50%\u3002<\/p>\n<p class=\"text-align-justify\">\u9274\u4e8e HF \u60a3\u8005\uff0c\u7279\u522b\u662f\u5408\u5e76 AF \u7684\u60a3\u8005\uff0c\u5b58\u5728\u8f83\u9ad8\u7684\u8840\u6813\u6813\u585e\u98ce\u9669\uff0cDOAC \u6cbb\u7597\u4f3c\u4e4e\u662f\u964d\u4f4e\u8840\u6813\u6813\u585e\u4e8b\u4ef6\u98ce\u9669\uff0c\u4e14\u5b89\u5168\u6027\u826f\u597d\u7684\u4e00\u79cd\u5408\u7406\u9009\u62e9\u3002\u7136\u800c\uff0c\u7531\u4e8e\u7f3a\u4e4f\u5177\u4f53\u6570\u636e\uff0c\u4e34\u5e8a\u51b3\u7b56\u76ee\u524d\u6839\u636e\u4e00\u822c AF \u7fa4\u4f53\u4e2d\u5927\u578b RCT \u7684\u8bc1\u636e\u8fdb\u884c\u8c03\u6574\u3002<\/p>\n<p class=\"text-align-justify\">DOAC \u5728 HF \u60a3\u8005\u4e2d\u7684\u4f7f\u7528\u4e2d\u4ecd\u7136\u5b58\u5728\u4e00\u4e9b\u91cd\u8981\u95ee\u9898\u6709\u5f85\u89e3\u51b3\uff0c\u9700\u8981\u8fdb\u4e00\u6b65\u6df1\u5165\u5206\u6790\u3002DOAC \u662f\u5426\u4f1a\u5f71\u54cd\u7279\u5b9a\u7684 HF \u7ec8\u70b9\uff0c\u4f8b\u5982 HF \u6076\u5316\u6216\u4f4f\u9662\u6cbb\u7597\uff1f\u5bf9\u4e8e\u5408\u5e76\u5176\u4ed6\u75be\u75c5\u7684 HF-AF \u60a3\u8005\uff0c\u6211\u4eec\u5e94\u5982\u4f55\u7ba1\u7406\u5176\u6297\u51dd\u6cbb\u7597\uff1f\u5728 HF-AF-CAD \u60a3\u8005\u4e2d\uff0c\u6211\u4eec\u5e94\u5982\u4f55\u5408\u7406\u8054\u5408\u4f7f\u7528\u6297\u8840\u5c0f\u677f\u836f\u7269\u548c\u6297\u51dd\u836f\u7269\uff1f\u6211\u4eec\u80fd\u5426\u5b89\u5168\u6709\u6548\u5730\u5c06 DOAC \u7528\u4e8e\u5408\u5e76\u5de6\u5fc3\u5ba4\u8840\u6813\u7684 HFAF \u60a3\u8005\uff1f\u5bf9\u4e8e\u5de6\u5fc3\u5ba4\u8840\u6813\u548c AF \u98ce\u9669\u5747\u589e\u52a0\u7684 HF \u60a3\u8005\uff0c\u6211\u4eec\u5e94\u5728\u4f55\u65f6\u542f\u52a8 DOAC \u6cbb\u7597\uff1f<\/p>\n<p class=\"text-align-justify\">HF \u662f\u4e00\u79cd\u72ec\u7279\u7684\u4e34\u5e8a\u72b6\u6001\uff0c\u9700\u8981\u5f00\u5c55\u9776\u5411\u4e34\u5e8a\u7814\u7a76\uff0c\u5e76\u5236\u5b9a\u4e2a\u4f53\u5316\u6cbb\u7597\u65b9\u6848\uff0c\u4ee5\u51cf\u5c11\u4e0d\u826f\u4e8b\u4ef6\u7684\u53d1\u751f\u3002\u6b64\u7c7b\u7814\u7a76\u5c06\u6709\u52a9\u4e8e\u5728\u5e9e\u5927\u7684 HF \u60a3\u8005\u7fa4\u4f53\u4ee5\u53ca\u5404\u79cd\u5177\u4f53\u4e34\u5e8a\u60c5\u5883\u4e2d\uff0c\u66f4\u597d\u5730\u754c\u5b9a DOAC \u9009\u62e9\u7684\u4e34\u5e8a\u51b3\u7b56\u4f9d\u636e\u3002[3]<\/p>\n<p class=\"text-align-justify\"><em>*DOAC\uff1a2023 \u5e74 ISTH SSC \u5efa\u8bae\u6309\u7167\u6297\u51dd\u836f\u7269\u7684\u7ed9\u836f\u9014\u5f84\u53ca\u5176\u7279\u5f02\u6027\u9776\u70b9\u5f00\u5177\u5904\u65b9\uff0c\u4f8b\u5982\u53e3\u670d\u56e0\u5b50 Xa \u6291\u5236\u5242\u3001\u80a0\u5916\u56e0\u5b50 XIIa \u6291\u5236\u5242\u7b49\u3002(5)<\/em><\/p>\n<p class=\"text-align-justify\">\n<em>\u53c2\u8003\u6587\u732e<\/em>\uff1a <\/p>\n<p><a href=\"https:\/\/onlinejcf.com\/article\/S1071-9164(23)00001-5\/fulltext\" target=\"_blank\" rel=\"noopener\">[1]<\/a>\u00a0SINIARSKI, A.et al. (2023) \u2018Blood coagulation disorders in heart failure: From basic science to clinical perspectives\u2019, Journal of Cardiac Failure, 29(4), pp. 517\u2013526. doi:10.1016\/j.cardfail.2022.12.012.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11897-016-0308-6\" target=\"_blank\" rel=\"noopener\">[2]<\/a>\u00a0Kim, J.H. et al. (2016) \u2018Coagulation abnormalities in heart failure: Pathophysiology and therapeutic implications\u2019, Current Heart Failure Reports, 13(6), pp. 319\u2013328. doi:10.1007\/s11897-016-0308-6.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s10741-020-09994-0\" target=\"_blank\" rel=\"noopener\">[3]<\/a>\u00a0Paolillo, S.et al. (2020) \u2018Direct oral anticoagulants across the heart failure spectrum: The Precision Medicine Era\u2019, Heart Failure Reviews, 27(1), pp. 135\u2013145. doi:10.1007\/s10741-020-09994-0.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCOUTCOMES.120.007230\" target=\"_blank\" rel=\"noopener\">[4]<\/a>\u00a0Jackevicius, C.A. et al. (2021) \u2018Bleeding risk of direct oral anticoagulants in patients with heart failure and atrial fibrillation\u2019, Circulation: Cardiovascular Quality and Outcomes, 14(2). doi:10.1161\/circoutcomes.120.007230.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.jthjournal.org\/article\/S1538-7836(23)00149-6\/fulltext\" target=\"_blank\" rel=\"noopener\">[5]\u00a0<\/a>Barnes, G.D. et al. (2023) \u2018Recommendation on the nomenclature for anticoagulants: Updated communication from the International Society on Thrombosis and Haemostasis Scientific and standardization commitee on the control of anticoagulation\u2019, Journal of Thrombosis and Haemostasis, 21(5), pp. 1381\u20131384. doi:10.1016\/j.jtha.2023.02.008.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5fc3\u529b\u8870\u7aed\u4e2d\u7684\u51dd\u8840\u969c\u788d \u5fc3\u529b\u8870\u7aed (HF) \u662f\u4e00\u79cd\u4e34\u5e8a\u7efc\u5408\u5f81\uff0c\u7531\u5fc3\u810f\u7684\u7ed3\u6784\u6216\u529f\u80fd\u969c\u788d\u5f15\u8d77\uff0c\u4f1a\u5bfc\u81f4\u8fd0\u52a8\u6216\u9759\u606f\u5fc3\u5185\u538b\u5347\u9ad8\u548c\/\u6216\u5fc3\u8f93\u51fa\u91cf\u4e0d\u8db3\u3002\u8fd9\u79cd\u75be\u75c5\u4e0e\u52a8\u8109\u548c\u9759\u8109\u8840\u6813\u4e8b\u4ef6\u7684\u53d1\u751f\u98ce\u9669\u589e\u52a0\u6709\u5173\u3002\u63d0\u9ad8\u4e34\u5e8a\u533b\u5e08\u5bf9\u8fd9\u4e00\u95ee\u9898\u7684\u8ba4\u8bc6\uff0c\u5f00\u5c55\u66f4\u591a\u7814\u7a76\u5e76\u5236\u5b9a\u66f4\u660e\u786e\u7684\u7ba1\u7406\u6307\u5357\uff0c\u53ef\u6709\u52a9\u4e8e\u5bf9 HF \u60a3\u8005\u51dd\u8840\u969c\u788d\u7684\u66f4\u597d\u8bca\u65ad\u548c\u6cbb\u7597\u3002 HF \u4e2d\u51dd\u8840\u969c\u788d\u7684\u75c5\u7406\u751f\u7406\u5b66 \u6839\u636e\u5de6\u5fc3\u5ba4\u5c04\u8840\u5206\u6570 (LVEF)\uff0cHF \u5206\u4e3a 3 \u4e2a\u4e9a\u578b\uff1a\u5c04\u8840\u5206\u6570\u964d\u4f4e\u578b HF (HFrEF)\uff1b\u5c04\u8840\u5206\u6570\u8f7b\u5ea6\u964d\u4f4e\u578b HF (HFmrEF) \u548c\u5c04\u8840\u5206\u6570\u4fdd\u7559\u578b HF (HFpEF)\u3002\u5404\u4e9a\u578b\u5747\u5177\u6709\u7279\u5b9a\u7684\u4e34\u5e8a\u7279\u5f81\u53ca\u5e38\u89c1\u7684\u5408\u5e76\u75be\u75c5\uff0c\u5176\u8840\u6813\u6813\u585e\u5e76\u53d1\u75c7\u7684\u98ce\u9669\u4ea6\u4e0d\u76f8\u540c [2]\u3002 HF \u548c\u8840\u6813\u5f62\u6210\u901a\u5e38\u56e0\u591a\u79cd\u539f\u56e0\u5173\u8054\u3002\u9996\u5148\uff0c\u7f3a\u8840\u6027\u5fc3\u810f\u75c5\uff08HF\u7684\u4e3b\u8981\u539f\u56e0\uff09\u901a\u8fc7\u8840\u5c0f\u677f\u6fc0\u6d3b\u548c\u805a\u96c6\uff0c\u800c\u6613\u5f62\u6210\u52a8\u8109\u8840\u6813\u3002\u9759\u8109\u8840\u6813\u6813\u585e (VTE) \u5728 HF \u60a3\u8005\u4e2d\u4e5f\u5f88\u5e38\u89c1\uff0c\u53ef\u589e\u52a0\u5fc3\u6e90\u6027\u6813\u585e\u6027\u5352\u4e2d\u548c\u731d\u6b7b\u7684\u98ce\u9669\u3002\u5f53 HF \u60a3\u8005\u60a3\u6709\u5176\u4ed6\u5408\u5e76\u75c7\uff08\u4f8b\u5982\u5fc3\u623f\u98a4\u52a8 (AF)\uff09\u65f6\uff0c\u8840\u6813\u6813\u585e\u548c\u8111\u5352\u4e2d\u7684\u98ce\u9669\u7279\u522b\u9ad8\u3002\u5728\u65b0\u8fd1\u786e\u8bca HF \u7684\u60a3\u8005\u4e2d\uff0c\u8d85\u8fc7\u4e00\u534a\u60a3\u6709 AF\uff0c\u800c AF \u4e0e HF \u5171\u5b58\u9884\u793a\u7740\u66f4\u9ad8\u7684\u6b7b\u4ea1\u98ce\u9669\u3002 \u7ef4\u5c14\u8096\u4e09\u8054\u5f81\u7684\u4e09\u5927\u7ec4\u6210\u90e8\u5206\u4e3a\u5185\u76ae\u529f\u80fd\u969c\u788d\u3001\u8840\u6d41\u505c\u6ede\u548c\u9ad8\u51dd\u72b6\u6001\uff0c\u5b83\u4eec\u4e00\u65e6\u51fa\u73b0\u5f02\u5e38\uff0c\u5747\u4f1a\u589e\u52a0 HF \u60a3\u8005\u5bf9\u8840\u6813\u5f62\u6210\u7684\u6613\u611f\u6027\u3002\u7136\u800c\uff0c\u52a8\u8109\u548c\u9759\u8109\u8840\u6813\u5f62\u6210\u7684\u75c5\u56e0\u4e0d\u540c\u3002\u52a8\u8109\u8840\u6813\u5bcc\u542b\u8840\u5c0f\u677f\u5e76\u5728\u9ad8\u526a\u5207\u5e94\u529b\u4e0b\u5f62\u6210\uff0c\u800c\u9759\u8109\u8840\u6813\u5219\u5bcc\u542b\u7ea4\u7ef4\u86cb\u767d\uff0c\u591a\u5728\u8f83\u4f4e\u526a\u5207\u5e94\u529b\u73af\u5883\u4e2d\u5f62\u6210\u3002\u65e0\u8bba HF \u7684\u75c5\u56e0\u53ca\u5176\u5408\u5e76\u75c7\u5982\u4f55\uff0cHF \u60a3\u8005\u5b58\u5728\u7684\u8840\u5c0f\u677f\u529f\u80fd\u7d0a\u4e71\u53ca\u5176\u4e0e\u51dd\u8840\u7ea7\u8054\u7684\u5f02\u5e38\u76f8\u4e92\u4f5c\u7528\uff0c\u5747\u53ef\u4fc3\u8fdb\u8840\u6813\u5f62\u6210 [2]\u3002 \u5c3d\u7ba1\u8840\u6813\u6813\u585e\u5e76\u53d1\u75c7\u901a\u5e38\u5c1a\u89c6\u4e3a HF \u60a3\u8005\u7684\u9996\u8981\u95ee\u9898\uff0c\u4f46\u8be5\u75c5\u75c7\u4e0e\u4e25\u91cd\u51dd\u8840\u7d0a\u4e71\u5bc6\u5207\u76f8\u5173 [3]\u3002\u4f8b\u5982\uff0c\u5728 HF \u8bca\u65ad\u6216\u5931\u4ee3\u507f\u540e\u7684\u7b2c\u4e00\u4e2a\u6708\u5185\uff0c\u8111\u5352\u4e2d\u53d1\u751f\u7387\u660e\u663e\u5347\u9ad8\uff0c\u800c\u5728\u6025\u6027\u4e8b\u4ef6\u53d1\u751f\u540e 6 \u4e2a\u6708\u5185\u5219\u9010\u6e10\u4e0b\u964d [4]\u3002HF \u60a3\u8005\u7684\u8840\u6813\u524d\u8868\u578b\u53ef\u80fd\u4e0e\u4ee5\u4e0b\u56e0\u7d20\u6709\u5173\uff1a(1) \u6162\u6027\u7f3a\u6c27\u8bf1\u5bfc\u7684\u5168\u8eab\u708e\u75c7\u53cd\u5e94\uff1b(2) [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":137876,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"tags":[12372,12368],"pillarandcategory":[283,292,282],"reporter":[12558,12559],"class_list":["post-145594","acf_article","type-acf_article","status-publish","has-post-thumbnail","hentry","tag-12372","tag-12368","pillarandcategory-cardiology","pillarandcategory-coagulation","pillarandcategory-disease-area","reporter-niti-dawar","reporter-yingli-huang"],"acf":[],"_links":{"self":[{"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/acf_article\/145594","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/acf_article"}],"about":[{"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/types\/acf_article"}],"author":[{"embeddable":true,"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":3,"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/acf_article\/145594\/revisions"}],"predecessor-version":[{"id":148210,"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/acf_article\/145594\/revisions\/148210"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/media\/137876"}],"wp:attachment":[{"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/media?parent=145594"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/tags?post=145594"},{"taxonomy":"pillarandcategory","embeddable":true,"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/pillarandcategory?post=145594"},{"taxonomy":"reporter","embeddable":true,"href":"https:\/\/labinsights.com\/zhcn\/wp-json\/wp\/v2\/reporter?post=145594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}