Advanced Heart Failure Prevalence, Natural History, and Prognosis

被引：89
作者：
Chaudhry, Sunit-Preet [1 ]
Stewart, Garrick C. [1 ]
机构：
[1] Harvard Med Sch, Brigham & Womens Hosp, Ctr Adv Heart Dis, Dept Med, 75 Francis St, Boston, MA 02115 USA
来源：
HEART FAILURE CLINICS | 2016年 / 12卷 / 03期
关键词：
Heart failure; Cardiomyopathy; Prognosis; Risk assessment; Clinical decision making; CONVERTING-ENZYME-INHIBITORS; SERUM SODIUM CONCENTRATION; VENTRICULAR ASSIST DEVICE; AMBULATORY PATIENTS; CARDIAC TRANSPLANTATION; CARDIORENAL SYNDROME; NATRIURETIC PEPTIDE; EJECTION FRACTION; AMERICAN-COLLEGE; TASK-FORCE;
D O I：
10.1016/j.hfc.2016.03.001
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Heart failure is a complex clinical syndrome. The natural history of this syndrome is progressive. Advanced heart failure is present when a patient has signs and symptoms of heart failure that are refractory to therapy. Patients with the most advanced disease and worst prognosis can be identified using iterative, integrated clinical assessment of symptom burden, effort intolerance, and cardiac dysfunction. Recognizing the transition to advanced heart failure is necessary for referral to an advanced heart disease program. Advanced heart disease specialists can tailor medical therapies, perform risk stratification, and evaluate candidacy for mechanical support, transplantation, or end-of-life palliative treatment options.
引用
收藏
页码：323 / +
页数：12
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