Palliative inotropes in advanced heart failure: organization and management

被引:0
作者
Gorni, Giovanna [1 ]
Correale, Michele [2 ]
Nodari, Savina [3 ]
Sinagra, Gianfranco [4 ]
机构
[1] ASST Grande Osped Metropolitano Niguarda, SC Cure Palliat Hosp, Piazza Osped Maggiore 3, I-20162 Milan, Italy
[2] SC Univ Cardiol UTIC, Osped Riuniti, Foggia, Italy
[3] Univ Brescia, Dipartimento Special Medicochirurg Sci Radiol & S, Sez Cardiol, Brescia, Italy
[4] Univ Trieste, Aziendu Sanit Univ Integrata, Dipartimento Cardiotoracovasc, Trieste, Italy
关键词
Heart failure; Inotropes; Palliative care; INTERMITTENT LEVOSIMENDAN TREATMENT; REPETITIVE USE; CARDIOLOGY; RATIONALE; EFFICACY; CARE; NEED;
D O I
10.1714/3328.32990
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A few patients in advanced or end-stage (stage D or NYHA functional class IV) heart failure are transplant or ventricular assist device eligible. Particularly for the non-operative patients (elderly or with significant comorbidities), intravenous palliative inotropes can be utilized for symptom control, for functional class and quality of life improvement. The authors report evidence-based medicine data about palliative inotrope therapy in advanced heart failure patients and they suggest a possible multidisciplinary approach in order to guarantee the best care to these patients.
引用
收藏
页码:296 / 302
页数:7
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