1 Division of Cardiology, Department of Medicine, Duke University Medical Center, Duke University School of Medicine, Durham, North Carolina.
2 Division of Cardiology, Department of Medicine, Center for Advanced Cardiac Care, Columbia University Medical Center, New York, New York.
J Palliat Med. 2019 Apr;22(4):437-441. doi: 10.1089/jpm.2019.0044. Epub 2019 Feb 22.
Advanced heart failure (HF) is a common condition that leads to significant suffering for patients and their families. Left ventricular assist devices (LVADs) can improve both the quantity and quality of life for those suffering with advanced HF. Palliative care clinicians are being asked with increasing frequency to assist HF teams to manage patients with LVADs in the preimplantation, post-operative, and end-of-life settings, although not all palliative care providers feel comfortable with this technology. Written by specialists in HF, geriatric cardiology, and palliative care, this article seeks to improve palliative care providers' knowledge of LVADs and will prepare palliative care teams to counsel and support LVAD patients and their families from pre-implantation to the end of life.
晚期心力衰竭（HF）是一种常见病症，会给患者及其家属带来巨大痛苦。左心室辅助装置（LVAD）可以提高晚期 HF 患者的生活质量和生活质量。姑息治疗临床医生越来越频繁地被要求协助 HF 团队在植入前、手术后和生命末期管理接受 LVAD 治疗的患者，尽管并非所有姑息治疗提供者都对这项技术感到满意。本文由 HF、老年心脏病学和姑息治疗方面的专家撰写，旨在提高姑息治疗提供者对 LVAD 的认识，并使姑息治疗团队能够在植入前、手术后和生命末期为 LVAD 患者及其家属提供咨询和支持。
