Dubin Anne M, Berul Charles I
Stanford University, 750 Welch Rd., Suite 305, Palo Alto, CA 94304, USA.
Expert Rev Cardiovasc Ther. 2007 Jan;5(1):111-8. doi: 10.1586/14779072.5.1.111.
Heart failure therapy, while well tested in the adult population, therapeutic interventions are less well defined in the pediatric population. Several treatment strategies are available for the adult patient with heart failure, thought few of these therapies have been proven in children. Morbidity and mortality in the pediatric population with a failing heart is significant, and rhythm management as well as strategies to improve hemodynamics are important in the care of these children. This review will address issues of rhythm management and resynchronization therapy in pediatric and congenital heart disease patients with heart failure.
心力衰竭治疗在成年人群中虽已得到充分验证,但在儿科人群中的治疗干预措施尚不明确。对于成年心力衰竭患者有多种治疗策略可用,不过这些疗法中很少有在儿童中得到证实的。患有心力衰竭的儿科人群的发病率和死亡率很高,心律管理以及改善血流动力学的策略在这些儿童的护理中很重要。本综述将探讨患有心力衰竭的儿科和先天性心脏病患者的心律管理和再同步治疗问题。