Gřiva Martin, Šťastný Jiří, Lazárová Marie, Krejčíková Helena
Cas Lek Cesk. 2018 Spring;157(1):19-24.
Chronic heart failure is a progressive disease with an increasing prevalence. In spite of all medical progress (or thanks to it), it is finally one of the most common causes of death. Palliative care is an approach aimed to improve the quality of life of patients and their families in cases of life-threatening illness. Therefore, the use of palliative care in cardiology is entirely relevant. Estimating the course and prognosis of a patient with chronic heart failure is difficult despite many prognostic tools. This makes it difficult to find the moment when palliative care is to begin. In general, gradual accentuation of treatment is recommended, focusing on the symptoms of the chronic progressive disease trajectory, and a reassessment of the benefit and potential adverse effects of conventional therapy. The main aspects of palliative care in cardiology are: 1. long-term communication with the patient and the family and their continuous education; 2. symptom-based treatment; 3. planning of advanced care; 4. A multidisciplinary team trying to meet all the patient's personality needs. Accepting palliative care as a part of complex care is a great challenge for the future of cardiology in the Czech Republic.Key words: heart failure, palliative care, cardiology.
慢性心力衰竭是一种患病率不断上升的进展性疾病。尽管医学取得了诸多进展（或许正因如此），它最终仍是最常见的死亡原因之一。姑息治疗是一种旨在改善危及生命疾病患者及其家属生活质量的方法。因此，在心脏病学中使用姑息治疗完全具有相关性。尽管有许多预后工具，但估计慢性心力衰竭患者的病程和预后仍很困难。这使得难以确定开始姑息治疗的时机。一般而言，建议逐步加强治疗，关注慢性进展性疾病轨迹的症状，并重新评估传统治疗的益处和潜在不良反应。心脏病学中姑息治疗的主要方面包括：1. 与患者及其家属进行长期沟通并持续开展教育；2. 基于症状的治疗；3. 高级护理规划；4. 一个多学科团队努力满足患者的所有个性化需求。将姑息治疗作为综合护理的一部分接受，对捷克共和国心脏病学的未来而言是一项巨大挑战。关键词：心力衰竭、姑息治疗、心脏病学
