Vandenbriele Christophe, Bertoldi Letizia F, Bruno Francesco, Haneya Assad, Nap Alexander, Potapov Evgenij, Schoenrath Felix, Zimpfer Daniel, Pappalardo Federico
Cardiovascular Center Aalst, OLV Hospital, 9300 Aalst, Belgium.
Royal Brompton and Harefield Hospital NHS Foundation Trust, London UB9 6JH, UK.
Eur Heart J Suppl. 2025 Feb 4;27(Suppl 4):iv39-iv46. doi: 10.1093/eurheartjsupp/suaf002. eCollection 2025 Apr.
Heart failure (HF) remains a leading cause of morbidity and mortality worldwide, with acute HF (AHF) or cardiogenic shock requiring rapid intervention to prevent fatal outcomes. Advances in temporary mechanical circulatory support (tMCS) devices have revolutionized the management of advanced HF, offering temporary, durable, and individualized support options. This manuscript reviews the pathophysiology and clinical presentation of AHF, the role of multi-disciplinary Heart Teams, and the growing importance of structured care networks in managing complex cases of HF. We explore the strategic deployment of tMCS in acute settings, device options, implications for patient outcomes, and current challenges in the field. This manuscript emphasizes the importance of team-based approaches and underscores the potential of tMCS devices in stabilizing patient haemodynamics, bridging to recovery or definitive therapy, and improving survival in patients facing high-risk HF.
心力衰竭（HF）仍然是全球发病和死亡的主要原因，急性心力衰竭（AHF）或心源性休克需要迅速干预以防止致命后果。临时机械循环支持（tMCS）设备的进展彻底改变了晚期HF的管理，提供了临时、持久和个性化的支持选择。本文综述了AHF的病理生理学和临床表现、多学科心脏团队的作用以及结构化护理网络在管理复杂HF病例中的重要性日益增加。我们探讨了tMCS在急性情况下的战略部署、设备选择、对患者结局的影响以及该领域当前的挑战。本文强调了基于团队方法的重要性，并强调了tMCS设备在稳定患者血流动力学、过渡到康复或确定性治疗以及改善高危HF患者生存率方面的潜力。
