机械循环支持中的血压管理
Blood pressure management in mechanical circulatory support.
作者信息
Bennett Mosi K, Adatya Sirtaz
机构信息
1 Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota, USA ; 2 Department of Medicine, Cardiology Division, University of Chicago, Chicago, Illinois, USA.
出版信息
J Thorac Dis. 2015 Dec;7(12):2125-8. doi: 10.3978/j.issn.2072-1439.2015.11.05.
Abstract
Durable mechanical support has become widely available for end stage heart failure as destination therapy and as bridge to transplantation. The accurate measurement of blood pressure (BP) as well as the recognition and management of hypertension in patients with continuous flow left ventricular assist devices (CF-VADs) is an essential component of optimal clinical care. Strategies for the control of BP in CF-VAD patients are increasingly important as there is an evolving understanding of the connection between hypertension, pump output, and adverse outcomes. As clinical experience grows, optimal BP targets, as well as methods to measure BP in CF-VAD patients have been further defined.
摘要
作为终末期心力衰竭的目标治疗手段以及移植桥梁，持久的机械支持已广泛应用。准确测量血压（BP）以及识别和管理持续血流左心室辅助装置（CF-VADs）患者的高血压是优化临床护理的重要组成部分。随着对高血压、泵输出和不良后果之间联系的认识不断深入，控制CF-VAD患者血压的策略变得越来越重要。随着临床经验的积累，CF-VAD患者的最佳血压目标以及测量血压的方法得到了进一步明确。
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