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心力衰竭治疗:超越指南。

Heart failure therapy: beyond the guidelines.

机构信息

Cedars Sinai Heart Institute, Cedars Sinai Medical Center, 8700 Beverly Blvd., Los Angeles, CA 90048, USA.

出版信息

J Cardiovasc Med (Hagerstown). 2010 Dec;11(12):919-27. doi: 10.2459/JCM.0b013e32833d3566.

DOI:10.2459/JCM.0b013e32833d3566
PMID:20671567
Abstract

Heart failure is a chronic and debilitating disease responsible for high cardiac morbidity and mortality in the world and is associated with over 290 000 deaths in the United States each year. This article reviews palliative care and self-care, which are critical components of heart failure management that are inadequately defined in the current American College of Cardiology/American Heart Association Guidelines for the Diagnosis and Management of Heart Failure. Palliative care describes a multidisciplinary approach to the treatment of heart failure therapy that addresses both the symptomatic and psychosocial aspects of the disease. Self-care aims to maintain disease stability and prevent clinical decline through a variety of patient-based behavioral and lifestyle modifications.

摘要

心力衰竭是一种慢性且使人虚弱的疾病,在全球范围内导致了高的心脏发病率和死亡率,并且每年导致美国超过 290000 人死亡。本文回顾了姑息治疗和自我护理,它们是心力衰竭管理的关键组成部分,但在当前的美国心脏病学会/美国心脏协会心力衰竭诊断和管理指南中没有得到充分定义。姑息治疗描述了一种多学科的心力衰竭治疗方法,既解决了疾病的症状方面,也解决了心理社会方面。自我护理旨在通过各种基于患者的行为和生活方式改变来维持疾病的稳定性并防止临床恶化。

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Heart failure therapy: beyond the guidelines.心力衰竭治疗:超越指南。
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Philosophical implications of the systemic and patient-oriented management of chronic heart failure.
慢性心力衰竭的系统性和患者为中心的管理的哲学意义。
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