Cowger Jennifer A, Grafton Gillian
Department of Cardiology, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA.
Department of Cardiology, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA.
Cardiol Clin. 2018 Nov;36(4):487-494. doi: 10.1016/j.ccl.2018.06.003.
Severe systolic dysfunction combined with symptoms of heart failure has a high rate of morbidity and mortality. Medical management remains the mainstay of therapy but mechanical circulatory support (MCS) is one of the treatment options for end-stage heart failure. The left ventricular assist device (LVAD) is the most common type of device used for durable MCS. There have been significant improvements in the technology, surgical technique, and patient management. There is not a single model that is able to accurately assess risk in these patients due to the variety of variables. It is essential to assess all risk in the decision-making process.
严重收缩功能障碍合并心力衰竭症状的发病率和死亡率很高。药物治疗仍然是主要的治疗方法，但机械循环支持（MCS）是终末期心力衰竭的治疗选择之一。左心室辅助装置（LVAD）是用于长期MCS的最常见装置类型。在技术、手术技术和患者管理方面已经有了显著改进。由于变量的多样性，没有单一模型能够准确评估这些患者的风险。在决策过程中评估所有风险至关重要。
