Adams Monica Colvin, Ali Syed Sohail
University of Minnesota, Cardiovascular Division, 420 Delaware Street SE, MMC 508, Minneapolis, MN 55416, USA.
Curr Cardiol Rep. 2006 May;8(3):191-7. doi: 10.1007/s11886-006-0033-y.
Despite the recent advancement in medical therapy for heart failure, morbidity associated with heart failure continues to be excessive, with rising hospitalization rates and costs. Disease management models have been instituted successfully for several chronic disease states, and observational trials have shown different models to be beneficial. A multidisciplinary approach to management of heart failure improves outcomes. Multiple recent trials involving various models of integrated and comprehensive disease management have demonstrated promising results, such as reduction in mortality and hospitalizations. Future models for disease monitoring may include implantable devices that directly monitor hemodynamics combined with multidisciplinary care.
尽管近期心力衰竭的药物治疗取得了进展，但与心力衰竭相关的发病率仍然过高，住院率和成本不断上升。疾病管理模式已成功应用于多种慢性疾病状态，观察性试验表明不同模式都有益处。心力衰竭的多学科管理方法可改善预后。最近多项涉及各种综合和全面疾病管理模式的试验都取得了令人鼓舞的结果，如死亡率和住院率降低。未来的疾病监测模式可能包括直接监测血流动力学的可植入设备与多学科护理相结合。
