Marcus Paula
Department of Psychiatry, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10467, USA.
Ann Thorac Surg. 2009 Nov;88(5):e48-9. doi: 10.1016/j.athoracsur.2009.07.029.
As the baby boom generation ages, the number of people with heart failure is expected to rise exponentially. A rapid increase in the demand for heart transplants will result in an increased use of left ventricular assist devices. This case illustrates the challenges facing transplant teams in evaluating elderly heart failure patients as candidates for assist devices. The critical elements of a psychosocial assessment are described.
随着婴儿潮一代步入老年，心力衰竭患者的数量预计将呈指数级增长。心脏移植需求的快速增加将导致左心室辅助装置的使用增多。本病例说明了移植团队在评估老年心力衰竭患者作为辅助装置候选者时所面临的挑战。文中描述了心理社会评估的关键要素。
