Puckett Carrie, Mudd James O
Knight Cardiovascular Institute, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, UHN 62, Portland, OR 97239, USA.
Knight Cardiovascular Institute, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, UHN 62, Portland, OR 97239, USA.
Heart Fail Clin. 2016 Jul;12(3):375-84. doi: 10.1016/j.hfc.2016.03.009.
Heart failure effects millions of people throughout the world and is a growing epidemic with a significant impact on the economics and systems of care delivery. The goal of therapy in advanced heart failure is to improve quality of life and prolong survival. Standard medical therapies may require tailoring as advanced therapies are considered in the context of patient and caregiver goals. The aim of this review is to summarize concepts for tailored medical therapy and monitoring in advanced heart failure and discuss the importance of tailoring systems of care and shared decision making in advanced heart failure.
心力衰竭影响着全球数百万人,并且这一流行病正在加剧,对经济和医疗服务体系产生重大影响。晚期心力衰竭的治疗目标是提高生活质量并延长生存期。由于在考虑患者和护理人员目标的背景下采用了先进疗法,标准医学疗法可能需要进行调整。本综述的目的是总结晚期心力衰竭中个性化药物治疗和监测的概念,并讨论在晚期心力衰竭中调整护理体系和共同决策的重要性。