| 課程大綱 | Heart failure (HF) affects millions of people all over the world and is the primary diagnosis for hospital discharge in about 1 million and a secondary diagnosis in about 2 million hospitalizations annually. HF makes up to 1% to 2% of the total healthcare budget with inpatient admissions accounting for more than one-half of this expenditure. HF inpatient mortality ranges from 4% to 12% and may increase to 20% to 25% in high-risk subgroups. Readmissions and events are common and the age-adjusted risk for all-cause mortality is tripled compared with non-HF patients. While the typical hospital course includes rapid improvement in signs and symptoms and discharge after 4 to 5 days, episodes of worsening HF nevertheless mark a fundamental change in the HF trajectory. Goals of hospitalization include not only clinical response, but also the assessment and optimization of therapy to address the long-term trajectory after discharge. |