English to Russian Bus/Financial Medical: Cardiology сердечная недостаточность

HF = heart failure
Stage A: At Risk for HF
Stage B: Pre-HF
Stage C: Symptomatic HF
Stage D: Advanced HF

Primary prevention is important for those at risk for HF (stage A) or pre-HF (stage B). Stages of HF were revised to emphasize the new terminologies of “at risk” for HF for stage A and pre-HF for stage B.

HF Description

HF is a complex clinical syndrome with symptoms and signs that result from any structural or functional impairment of ventricular filling or ejection of blood. The writing committee recognizes that asymptomatic stages with structural heart disease or cardiomyopathies are not covered under the above definition as having HF. Such asymptomatic stages are considered at-risk for HF (stage A) or pre-HF (stage B)
The writing committee recognizes that asymptomatic stages with structural heart disease or cardiomyopathies are not (!!!) covered under the definition as having HF. Such asymptomatic stages are considered at-risk for HF (stage A) or pre-HF (stage B)


STAGE B (PATIENTS WITH PRE-HF)

In general, all recommendations for patients with stage A HF also apply to those with stage B HF. Stage B (pre-HF) represents a phase of clinically asymptomatic structural and functional cardiac abnormalities that increases the risk for symptomatic HF (18-21). Identifying individuals with stage B HF provides an opportunity to initiate life-style modification and pharmacological therapy that may prevent or delay the transition to symptomatic HF (stage C/D). Several ACC/AHA clinical practice guidelines address appropriate management of patients with stage B HF (Table 10). Although multiple studies highlight the increased HF risk associated with asymptomatic LV systolic (19,20,22-26) and diastolic dysfunction identified by noninvasive imaging (19,26-30), beneficial pharmacotherapy for asymptomatic LV systolic dysfunction, such as inhibitors of the renin-angiotensin system and beta blockers, have been predominantly observed in individuals with depressed LVEF (LVEF