《内科学》课程PPT教学课件（讲稿）心衰 Heart Failure

Heart Failure 心衰 小型水库1000m3 大型水库>100,000000m3 龙泉驿水库蓄水约330万立方米 approx 100, 000 heartbeats/day approx. 2, 760,000,000 heartbeats/ifetime approx. 4,000 gallons(15,000 liters) blood pumped/day appox, 3, 832, 500, 000 liters/lifetime

Heart Failure 心衰 approx. 100,000 heartbeats/day approx. 2,760,000,000 heartbeats/lifetime approx. 4,000 gallons (15,000 liters) blood pumped/day appox，3，832，500，000 liters/lifetime 小型水库 ＜ 1000m3 中型水库 ＞ 1000 m3 大型水库 ＞ 100,000 000m3 龙泉驿水库 蓄水约 330万立方米

Outline大纲 Concept概念 Pathogenesis发病机制 Effect( important) and mechanisms影响及机制

Concept 概念 Pathogenesis 发病机制 Effect（important）and mechanisms 影响及机制 Outline大纲

Content内容 Background背景 ■ Definition and explaining the definition定义 pathogenesis机制

Background 背景 Definition and explaining the definition 定义 pathogenesis 机制 Content 内容

Heart failure心衰-- Background 目心为君主之官,脏腑百骸,惟所是命,聪明智慧,莫不由之 na fheheantio monedeaeitflthan anything. his inowralle-whocanknawitd Jeremiah 17: 9-10

 心为君主之官，脏腑百骸，惟所是命，聪明智慧，莫不由之 " Theheart is moredeceitful thananything.It is incurable— whocanknow it? Jeremiah 17:9-10 Heart failure 心衰----Background

Heart failure心衰-- Background Cats look down on us. Dogs look up to us. Pigs treat us as equals

Heart failure 心衰----Background Cats look down on us. Dogs look up to us. Pigs treat us as equals

Heart failure心衰- Background

Heart failure 心衰----Background

Background What kill us? Diphtheria, 40.3 1000 Cancer, 64.0 Accidents. 72.3 Nephropathies, 88.6 Cerebrovascular disease, 106.9 Pneumonia or influenza, 16.2 Heart disease Nephropathies, 16.3 137.4 Gastrointestinal Alzheimers disease, 27.0 oz infections 400 142.7 Cerebrovascular disease, 41.8 Noninfectious airways diseases, 44.6 Tuberculosis Cancer 1944 185.9 200 Pneumonia Heart disease or Influenza 202.2 192.9 1900 2010

Background What kill us?

Background 《2010年中国心血管病报告》 Kthe report of cardiovascular disease in china 2010 y 11/5 adults suffer from cardiovascular disease l3 million die from cardiovascular disease I account for 41% of death number I China death 1/11.6s I America death 1/34.0s I equivalent to once Wen chuan big earthquake

《2010年中国心血管病报告》 1/5 adults suffer from cardiovascular disease 3 million die from cardiovascular disease account for 41% of death number China death 1/11.6s America death 1/34.0s equivalent to once Wen chuan big earthquake Background 《the report of cardiovascular disease in china 2010》

Background 《2010年中国心血管病报告》 Kthe report of cardiovascular disease in china 2010 y hypertension高血压2亿人 myocardial infarction心肌梗 200万人 pulmonary heart disease肺心病500万人 rheumatic heart disease风心病250万人 congenital heart disease先心病200万人 heart failure心衰竭420万人

hypertension 高血压 2亿人 myocardial infarction 心肌梗 200万人 pulmonary heart disease 肺心病 500万人 rheumatic heart disease 风心病 250万人 congenital heart disease 先心病 200万人 heart failure 心衰竭 420万人 《2010年中国心血管病报告》 《the report of cardiovascular disease in china 2010》 Background

Background We Face an epidemic of HF a Affecting 0.4-2%of total population, 8-10% of elderly a the global HF patients have up to 2250 million increasing at 200 million per year The prognosis of HF similar to cancer or even worse a The 20% patients with hF readmission after discharged from hospital in 30 days Less than 50% patients survival 5 years from the diagnosis of heart failure a Average survival time is 16 month, in hospital only 25% survival 5 years

We Face an epidemic of HF  Affecting 0.4-2% of total population， 8-10% of elderly  The global HF patients have up to 2250 million， increasing at 200 million per year  The prognosis of HF similar to cancer or even worse  The 20% patients with HF readmission after discharged from hospital in 30 days  Less than 50% patients survival 5 years from the diagnosis of heart failure  Average survival time is 16 month ， in hospital only 25% survival 5 years Background