Division of Cardiology, Stony Brook University Hospital, Stony Brook, NY 11720, United States.
Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203, United States.
Curr Cardiol Rev. 2021;17(5):e230421189012. doi: 10.2174/1573403X16999201210195455.
Heart failure (HF) affects an increasing number of geriatric patients. The condition is classified according to whether the left ventricular ejection fraction (EF) is reduced or preserved. Many patients have heart failure with preserved ejection fraction (HFpEF) and face a shortage of effective therapeutic strategies. However, an emerging mechanical strategy for treatment is gaining momentum. Interatrial septal connection devices, i.e. V-wave device and Interatrial septal device, are new devices for patients with heart failure with preserved ejection fraction. We review the function of these systems and the data from the recent clinical trials. Interatrial septal connection device therapy provided favorable efficacy and safety profile applicable to a wide range of patients with HFpEF. However, the long-term effects of these devices on morbidity.
心力衰竭(HF)影响着越来越多的老年患者。根据左心室射血分数(EF)是否降低,该疾病可分为射血分数降低型和射血分数保留型。许多患者患有射血分数保留型心力衰竭(HFpEF),并面临着缺乏有效治疗策略的困境。然而,一种新兴的机械治疗策略正在兴起。房间隔连接装置,即 V 波装置和房间隔装置,是心力衰竭伴射血分数保留患者的新型装置。我们回顾了这些系统的功能以及最近临床试验的数据。房间隔连接装置治疗提供了有利的疗效和安全性,适用于广泛的 HFpEF 患者。然而,这些装置对发病率的长期影响仍需进一步研究。