García Pinilla José Manuel, Díez-Villanueva Pablo, Bover Freire Ramón, Formiga Francesc, Cobo Marcos Marta, Bonanad Clara, Crespo Leiro María G, Ruiz García Juan, Díaz Molina Beatriz, Enjuanes Grau Cristina, García Lluisa, Rexach Lourdes, Esteban Alberto, Martínez-Sellés Manuel
Servicio de Cardiología, Hospital Universitario Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.
Servicio de Cardiología, Hospital Universitario de La Princesa, Madrid, Spain.
Rev Esp Cardiol (Engl Ed). 2020 Jan;73(1):69-77. doi: 10.1016/j.rec.2019.06.019. Epub 2019 Nov 21.
Heart failure is a complex entity, with high morbidity and mortality. The clinical course and outcome are uncertain and difficult to predict. This document, instigated by the Heart Failure and Geriatric Cardiology Working Groups of the Spanish Society of Cardiology, addresses various aspects related to palliative care, where most cardiovascular disease will eventually converge. The document also establishes a consensus and a series of recommendations with the aim of recognizing and understanding the need to implement and progressively apply palliative care throughout the course of the disease, not only in the advanced stages, thus improving the care provided and quality of life. The purpose is to improve and adapt treatment to the needs and wishes of each patient, who must have adequate information and participate in decision-making.
心力衰竭是一种复杂的病症，具有高发病率和死亡率。临床病程和预后不确定且难以预测。本文由西班牙心脏病学会的心力衰竭和老年心脏病学工作组发起，探讨了与姑息治疗相关的各个方面，大多数心血管疾病最终都会归结于此。该文件还达成了共识并提出了一系列建议，旨在认识和理解在疾病全过程中实施并逐步应用姑息治疗的必要性，而不仅仅是在晚期阶段，从而改善所提供的护理和生活质量。目的是根据每位患者的需求和意愿改进并调整治疗方案，患者必须获得充分的信息并参与决策。
