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Advances in diagnosis and management of chronic heart failure in China: reference limits of N-terminal-pro-B-type natriuretic peptide, pharmacal management, and community care

Advances in diagnosis and management of chronic heart failure in China: reference limits of N-terminal-pro-B-type natriuretic peptide, pharmacal management, and community care
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摘要 Heart failure,the final outcome of various heart diseases,has an increasingly high prevalence in China.Diagnosis,medical treatments,and community managements of heart failure are substantial clinical challenges.N-terminal-pro-B-type natriuretic peptide (NT-proBNP) is a useful biomarker for diagnostic and prognostic predictions in heart failure patients;however,the levels of reference value in normal Chinese populations are lacking.The usage of classic Western medicines has greatly improved;furthermore,the treatment pattem of the integration of Western treatments and traditional Chinese medicine (TCM) is also widely explored.Moreover,community managements of heart failure have been paid more attention and the long-term mechanism is being built.Here,we summarize the range of reference values of NT-proBNP in normal Chinese subjects,current therapies including Western treatments and especially TCM,as well as community care among people with chronic heart failure patients in China.Keywords:chronic heart failure; N-terminal-pro-B-type natriuretic peptide; pharmacology; community care Heart failure,the final outcome of various heart diseases,has an increasingly high prevalence in China.Diagnosis,medical treatments,and community managements of heart failure are substantial clinical challenges.N-terminal-pro-B-type natriuretic peptide (NT-proBNP) is a useful biomarker for diagnostic and prognostic predictions in heart failure patients;however,the levels of reference value in normal Chinese populations are lacking.The usage of classic Western medicines has greatly improved;furthermore,the treatment pattem of the integration of Western treatments and traditional Chinese medicine (TCM) is also widely explored.Moreover,community managements of heart failure have been paid more attention and the long-term mechanism is being built.Here,we summarize the range of reference values of NT-proBNP in normal Chinese subjects,current therapies including Western treatments and especially TCM,as well as community care among people with chronic heart failure patients in China.Keywords:chronic heart failure; N-terminal-pro-B-type natriuretic peptide; pharmacology; community care
作者 Jiang Hong
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第3期580-585,共6页 中华医学杂志(英文版)
基金 This work was funded by the National Natural Science Foundation of China (No.81170221) and the Key Project of Scientific Research from the Shanghai Municipality Education Commission (No.12ZZ002).
关键词 chronic heart failure N-terminal-pro-B-type natriuretic peptide PHARMACOLOGY community care chronic heart failure N-terminal-pro-B-type natriuretic peptide pharmacology community care
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