[Palliative inotrope therapy in advanced heart failure: organization and management]
Giovanna Gorni1, Michele Correale2, Savina Nodari3
1S.C. Cure Palliative-Hospice, ASST Grande Ospedale Metropolitano Niguarda, Milano.
Abstract:
A few patients in advanced or end-stage (stage D or NYHA functional class IV) heart failure are transplant or ventricular assist device eligible. Particularly for the non-operative patients (elderly or with significant comorbidities), intravenous palliative inotropes can be utilized for symptom control, for functional class and quality of life improvement. The authors report evidence-based medicine data about palliative inotrope therapy in advanced heart failure patients and they suggest a possible multidisciplinary approach in order to guarantee the best care to these patients.
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