在“2018深圳心力衰竭国际发展论坛暨心力衰竭治疗研讨会·深圳站”会议上,来自台北振兴医院心脏中心的殷伟贤教授为我们带来了"台湾心衰治疗现状的省思与改善措施"的精彩报告。
TaiwanSociety of Cardiology Registry on Heart Failure with Reduced Ejection Fraction(TSOC-HFrEF registry)
TSOC-HFRegistry
–Characteristics at Admission
TSOC-HFRegistry
–Primary Etiology of HF
TSOC-HFRegistry
–Intravenous drugs andinterventions
TSOC-HFRegistry
–Median Length of Stay
Heartfailure in Taiwan: length of stay
TSOC-HFRegistry
–In-Hospital Mortality
TSOC-HFRegistry
–TSOC-HFrEF outcomes
Trendsin oral medication over time
GDMT: Prescription & Outcomes
Post-discharge survival rates of HF patients: Cardiologistsvs. GPs, vs. others
Compliance with treatment guideline reduced the need forre-hospitalization
How to improve the situation ?
Recommendationsfor Biomarkers in HF
Useof Biomarker in HF: Tx.guidance
PARADIGM-HF 试验——高ST2浓度对应更多不良事件
ST2 Predicts Prognosis in Val-HeFT
基于35 ng/mL阈值观察治疗前后病人ST2变化
ST2 Predicts Prognosis in PROTECT
根据治疗前后 ST2 变化——预测对于治疗的反应: RAAS blockers
根据治疗前后 ST2 变化——预测对于治疗的反应: diuretics
根据治疗前后 ST2 变化——预测对于治疗的反应: β-blocker
基线ST2水平和 β-blocker 剂量——影响心血管事件
Adherence to self-care behaviors among HF patients
Patientand caregiver
Supporting systems
How to improve the situation ?
Multi-disciplinary team approach for the management of HF patients
Shouldwe fight until the last minute
……?!
Preventing HF, HF worsening, and HFdeath
Until… a world with better primary and secondary preventionof heart failure!
殷伟贤
台北振兴医院心脏中心
医学博士,主任医师、研究生导师,现职:台北振兴医疗财团法人振兴医院心脏中心心内科主任,阳明大学医学系助理教授。
学术及社会兼职:现任台湾血脂及动脉硬化学会理事长,现任台湾介入性心脏血管医学常务理事、台湾心脏学会及台湾心脏超音波学会理事,欧洲心脏学会院士、亚洲心脏学会院士、美国心律学会会员,台湾介入性心脏血管医学杂志及台湾心脏超音波学会杂志主编。共发表各类心脏学相关领域之SCI收录论文60余篇。
主要医疗技术:冠心病药物和介入治疗、急性心梗救治、心力衰竭诊治、心血管重症病人监护和治疗、心脏起博器植入及追踪、心脏及血管内超声、心脏病远距医疗。