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国际心肺移植学会 2024 年心脏移植候选人评估和护理指南。

International Society for Heart and Lung Transplantation Guidelines for the Evaluation and Care of Cardiac Transplant Candidates-2024.

机构信息

Leviev Heart & Vascular Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel; Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.

Deparment of Medicine, Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada.

出版信息

J Heart Lung Transplant. 2024 Oct;43(10):1529-1628.e54. doi: 10.1016/j.healun.2024.05.010. Epub 2024 Aug 8.

Abstract

The "International Society for Heart and Lung Transplantation Guidelines for the Evaluation and Care of Cardiac Transplant Candidates-2024" updates and replaces the "Listing Criteria for Heart Transplantation: International Society for Heart and Lung Transplantation Guidelines for the Care of Cardiac Transplant Candidates-2006" and the "2016 International Society for Heart Lung Transplantation Listing Criteria for Heart Transplantation: A 10-year Update." The document aims to provide tools to help integrate the numerous variables involved in evaluating patients for transplantation, emphasizing updating the collaborative treatment while waiting for a transplant. There have been significant practice-changing developments in the care of heart transplant recipients since the publication of the International Society for Heart and Lung Transplantation (ISHLT) guidelines in 2006 and the 10-year update in 2016. The changes pertain to 3 aspects of heart transplantation: (1) patient selection criteria, (2) care of selected patient populations, and (3) durable mechanical support. To address these issues, 3 task forces were assembled. Each task force was cochaired by a pediatric heart transplant physician with the specific mandate to highlight issues unique to the pediatric heart transplant population and ensure their adequate representation. This guideline was harmonized with other ISHLT guidelines published through November 2023. The 2024 ISHLT guidelines for the evaluation and care of cardiac transplant candidates provide recommendations based on contemporary scientific evidence and patient management flow diagrams. The American College of Cardiology and American Heart Association modular knowledge chunk format has been implemented, allowing guideline information to be grouped into discrete packages (or modules) of information on a disease-specific topic or management issue. Aiming to improve the quality of care for heart transplant candidates, the recommendations present an evidence-based approach.

摘要

《2024 年国际心肺移植学会心脏移植候选人评估和护理指南》更新并取代了《心脏移植登记标准:国际心肺移植学会心脏移植候选人护理指南-2006》和《2016 年国际心肺移植学会心脏移植登记标准:10 年更新》。本文件旨在提供工具,帮助整合评估患者移植时涉及的众多变量,强调在等待移植时更新协作治疗。自 2006 年国际心肺移植学会(ISHLT)指南发布和 2016 年 10 年更新以来,心脏移植受者的护理发生了重大实践改变。这些变化涉及心脏移植的 3 个方面:(1)患者选择标准,(2)选定患者人群的护理,以及(3)耐用机械支持。为了解决这些问题,成立了 3 个工作组。每个工作组都由一名儿科心脏移植医生共同主持,具体任务是突出儿科心脏移植人群特有的问题,并确保他们有足够的代表性。本指南与 2023 年 11 月前发布的其他 ISHLT 指南相协调。2024 年 ISHLT 心脏移植候选人评估和护理指南根据当代科学证据和患者管理流程图提供建议。美国心脏病学会和美国心脏协会的模块化知识块格式已实施,允许将指南信息分组为特定疾病主题或管理问题的离散信息包(或模块)。本指南旨在提高心脏移植候选人的护理质量,提出了循证方法的建议。

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