Treatment options in end-stage heart failure: where to go from here?

被引：29
作者：
Haeck, M. L. A. [1 ]
Hoogslag, G. E. [1 ]
Rodrigo, S. F. [1 ]
Atsma, D. E. [1 ]
Klautz, R. J. [2 ]
van der Wall, E. E. [1 ]
Schalij, M. J. [1 ]
Verwey, H. F. [1 ]
机构：
[1] Leiden Univ, Med Ctr, Dept Cardiol, NL-2333 ZA Leiden, Netherlands
[2] Leiden Univ, Med Ctr, Dept Cardiothorac Surg, NL-2333 ZA Leiden, Netherlands
来源：
NETHERLANDS HEART JOURNAL | 2012年 / 20卷 / 04期
关键词：
Heart failure; Surgery; Resynchronization therapy; Mechanical cardiac support; Heart failure program; VENTRICULAR ASSIST DEVICE; CARDIAC-RESYNCHRONIZATION THERAPY; MECHANICAL CIRCULATORY SUPPORT; MITRAL REGURGITATION; CLINICAL-EVALUATION; BYPASS SURGERY; ESC GUIDELINES; DYSFUNCTION; SURVIVAL; TRANSPLANT;
D O I：
10.1007/s12471-011-0211-4
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Chronic heart failure is a major healthcare problem associated with high morbidity and mortality. Despite significant progress in treatment strategies, the prognosis of heart failure patients remains poor. The golden standard treatment for heart failure is heart transplantation after failure of medical therapy, surgery and/or cardiac resynchronisation therapy. In order to improve patients' outcome and quality of life, new emerging treatment modalities are currently being investigated, including mechanical cardiac support devices, of which the left ventricular assist device is the most promising treatment option. Structured care for heart failure patients according to the most recent international heart failure guidelines may further contribute to optimal decision-making. This article will review the conventional and novel treatment modalities of heart failure.
引用
收藏
页码：167 / 175
页数：9
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