Hullin Roger, Meyer Philippe, Yerly Patrick, Kirsch Matthias
Cardiology, Cardiovascular Department, University Hospital and University of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland.
Cardiology, Department of Medical Specialties, Geneva University Hospital, University of Geneva, Rue du Gabrielle Perret-Gentil 4, 1205 Geneva, Switzerland.
J Clin Med. 2022 Jan 31;11(3):773. doi: 10.3390/jcm11030773.
Mechanical circulatory support and heart transplantation are established surgical options for treatment of advanced heart failure. Since the prevalence of advanced heart failure is progressively increasing, there is a clear need to treat more patients with mechanical circulatory support and to increase the number of heart transplantations. This narrative review summarizes recent progress in surgical treatment options of advanced heart failure and proposes an algorithm for treatment of the advanced heart failure patient at >65 years of age.
机械循环支持和心脏移植是治疗晚期心力衰竭的既定手术选择。由于晚期心力衰竭的患病率在逐渐增加,显然需要用机械循环支持治疗更多患者,并增加心脏移植的数量。这篇叙述性综述总结了晚期心力衰竭手术治疗选择的最新进展,并提出了一种针对65岁以上晚期心力衰竭患者的治疗算法。