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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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[Interventional treatment of heart failure : Stents and valves]

Peter Moritz Becher1,2, Moritz Seiffert3,4

  • 1Klinik für Kardiologie, Universitäres Herz- und Gefäßzentrum, Universitätsklinikum Hamburg-Eppendorf, 20246, Hamburg, Deutschland. m.becher@uke.de.

Herz
|January 26, 2023
PubMed

Insights

Recent advances in heart failure pharmacotherapy offer improved outcomes. Interventional treatments for associated conditions, guided by multidisciplinary heart teams, are increasingly preferred over surgery.

Area of Science:

  • Cardiology and Cardiovascular Medicine
  • Interventional Cardiology
  • Pharmacotherapy

Context:

  • Heart failure (HF) management has advanced with new drug classes improving symptoms and prognosis.
  • HF frequently coexists with coronary artery disease and significant valvular defects.
  • Increased surgical risks in HF patients often favor interventional approaches.

Purpose:

  • To review current pharmacotherapy and interventional strategies for heart failure management.
  • To highlight the role of interventional cardiology in treating associated coronary and valvular diseases.
  • To emphasize the importance of patient selection and multidisciplinary heart teams.

Summary:

  • Evolving pharmacotherapy provides symptomatic and prognostic benefits for heart failure patients.
  • Interventional procedures like myocardial revascularization and percutaneous valve correction are promising alternatives to surgery.
  • Thorough diagnostics and careful patient selection are crucial for successful interventional outcomes in complex HF cases.

Impact:

  • Optimized interventional treatment strategies can lead to significant prognostic and symptomatic improvements.
  • Multidisciplinary heart team integration ensures comprehensive, patient-centered care for complex cardiovascular conditions.
  • This approach supports the shift towards less invasive treatments in high-risk cardiac patients.

Keywords:
Drug therapyHeart failureM‑TEERPercutaneous coronary interventionTranscatheter aortic valve replacement

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