急性心力衰竭中的机械循环装置

Mechanical circulatory devices in acute heart failure.

作者信息

Teuteberg Jeffrey J, Chou Josephine C

机构信息

Heart and Vascular Institute, University of Pittsburgh Medical Center, Scaife Hall, Suite 556, 200 Lothrop Street, Pittsburgh, PA 15213, USA.

Heart and Vascular Institute, University of Pittsburgh Medical Center, 200 Lothrop Street, B-571.3 Scaife Hall, Pittsburgh, PA 15213, USA.

出版信息

Crit Care Clin. 2014 Jul;30(3):585-606. doi: 10.1016/j.ccc.2014.04.002.

DOI:10.1016/j.ccc.2014.04.002

PMID:24996610

Abstract

Cardiogenic shock remains a leading cause of mortality despite advances in the treatment of myocardial infarction and advanced heart failure. Medical therapy can be inadequate, and patients may need mechanical circulatory support (MCS). The proper application of MCS requires knowledge of the underlying cause of acute heart failure, familiarity with the circulatory support devices, and the potential benefits and limitations of device therapy. This article describes the most commonly used temporary ventricular assist devices and their use in the various causes of cardiogenic shock.

摘要

尽管在心肌梗死和晚期心力衰竭的治疗方面取得了进展，但心源性休克仍然是主要的死亡原因。药物治疗可能不足，患者可能需要机械循环支持（MCS）。正确应用MCS需要了解急性心力衰竭的潜在病因，熟悉循环支持设备，以及了解设备治疗的潜在益处和局限性。本文介绍了最常用的临时心室辅助装置及其在各种心源性休克病因中的应用。