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Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
[The chronic critically ill patient from the cardiologist's perspective]
1Klinik für Innere Medizin, St. Antonius Hospital, Eschweiler. uwe.janssens@sah-eschweiler.de
Advances in heart failure (HF) treatment improve survival, but advanced HF presents challenges. Integrating palliative care and addressing ethical concerns with devices are crucial for comprehensive HF management.
Area of Science:
- Cardiology
- Bioethics
- Medical Law
Context:
- Heart failure (HF) prognosis and survival have improved.
- Advanced chronic HF involves worsening symptoms, hospital admissions, and complications like arrhythmia.
- Current treatments include medical therapy, interventional cardiology, devices, and transplantation.
Purpose:
- To discuss the evolving landscape of advanced heart failure management.
- To highlight the ethical, social, and legal considerations of advanced treatments.
- To emphasize the role of palliative care in comprehensive HF management.
Summary:
- Improved HF survival leads to more advanced cases with complex needs.
- Interventional cardiology, devices (CIEDs), mechanical support, and transplantation are key treatments.
- Ethical dilemmas arise with device deactivation and surrogate decision-making.
Impact:
- Palliative care integration is vital for advanced HF patients, not just end-of-life care.
- Addressing ethical and legal issues is crucial as advanced therapies become more common.
- A comprehensive, team-based approach enhances HF patient care and outcomes.
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