许秋雯 郭自强

    [摘要] 慢性心力衰竭(以下简称“心衰”)是各种心脏疾病的严重和终末阶段，发病率高，是目前严重的心血管病之一。目前临床常用的心衰心功能评估方法主要有纽约心脏协会心功能分级、6分钟步行试验、利钠肽等实验室检查、超声心动各参数评估以及血流动力学监测等。本文就这5种评价心衰心功能及其预后的方法进行详细分析，如何快速、准确地评估心衰患者心功能状态及预后是值得我们深思的问题。

    [关键词] 慢性心衰;心功能评价;心功能分级;心功能检测

    [中图分类号] R541.6 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1673-7210(2020)04(a)-0035-04

    Status analysis of function evaluate methods in chronic heart failure

    XU Qiuwen1 ? GUO Ziqiang2

    1.Beijing University of Chinese Medicine， Beijing ? 100029， China; 2. Department of Cardiology， Dongfang Hospital Affiliated to Beijing University of Chinese Medicine， Beijing ? 100078， China

    [Abstract] The chronic heart failure (“HF”for short) is the severe stage and the end of various heart diseases， which has high incidence. HF is one of the most serious cardiovascular diseases. At present， the common methods of HF cardiac function evaluation are New York heart association classification， 6 minute walk test， the detection like natriuretic peptide， echocardiography and hemodynamic monitoring. This paper makes a detailed analysis of 5 methods for the cardiac function evaluation and prognosis of HF. It is a thought-provoking question about how to assess the functional capacity of chronic heart failure patients conveniently and precisely. ......