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A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs
Published on: February 18, 2022
Patient selection for advanced heart failure therapy referral
Alexander C Fanaroff1, Adam D DeVore, Robert J Mentz
1From the *Department of Medicine, Duke University Medical Center, Durham, NC; †Division of Cardiology, Duke University Medical Center, Durham, NC; and ‡Division of Cardiothoracic Surgery, Duke University Medical Center, Durham, NC.
Advanced heart failure (HF) requires timely referral for transplantation or mechanical support. This guide aids general cardiologists in identifying and referring appropriate patients for advanced HF therapies.
Area of Science:
- Cardiology
- Advanced Heart Failure Management
Background:
- Chronic heart failure (HF) management has advanced, yet advanced HF still presents a poor prognosis.
- Transplantation and durable mechanical circulatory support (MCS) improve outcomes but complicate patient management.
Purpose of the Study:
- To provide a decision-making pathway for general cardiologists.
- To guide timely referral for advanced HF therapies like heart transplantation and durable MCS.
Main Methods:
- Integration of current guidelines, recent data, and expert consensus.
- Development of a structured approach for patient referral to specialized centers.
Main Results:
- A clear pathway to identify patients eligible for advanced HF therapies.
- Guidance on the optimal timing for referral to heart transplant centers.
Conclusions:
- Empowering primary cardiologists to facilitate appropriate and timely referrals for advanced HF.
- Improving patient navigation through complex decisions regarding transplantation and durable MCS.
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