《AHA/ACC/ESC/WHF第二版心力衰竭通用定义专家共识(2026)》解读

Interpretation of the AHA/ACC/ESC/WHF expert consensus document:second universal definition of heart failure (2026)

摘要:

本文介绍了《AHA/ACC/ESC/WHF第二版心力衰竭通用定义专家共识(2026)》的重要更新内容,并针对新共识中的各类定义提出了中文翻译推荐。新共识将基于左心室射血分数(LVEF)的心力衰竭分类更新为:(1)射血分数降低的心力衰竭(HFrEF),LVEF＜50%；(2)射血分数保留的心力衰竭(HFpEF),LVEF≥50%；(3)射血分数改善的心力衰竭(HFimpEF)；同时提出了心力衰竭患者治疗转归中改善型心力衰竭、缓解型心力衰竭和康复型心力衰竭三个阶段的定义。

Abstract:

This article introduces the key updates of the “AHA/ACC/ESC/WHF Second Edition Expert Consensus Document on the Universal Definition of Heart Failure (2026)” and proposes Chinese translation recommendations for various definitions in the new consensus. The new consensus updates the classification of heart failure based on left ventricular ejection fraction (LVEF) as follows:(1) Heart failure with reduced ejection fraction (HFrEF), LVEF＜50%; (2) Heart failure with preserved ejection fraction (HFpEF), LVEF≥50%; (3) Heart failure with improved ejection fraction (HFimpEF); simultaneously, it also defines three stages in the treatment outcomes of heart failure patients:improved heart failure, remission heart failure, and recovery heart failure.