[Guideline 7. Intensive treatment of unstable heart failure. Indications for heart transplantation]
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F Navarro-López1, E de Teresa, J L López-Sendón
1Servicio de Cardiología, Hospital Clínic i Provincial, Universidad de Barcelona.
Revista Espanola De Cardiologia
|January 1, 1997
Abstract:
Unstable heart failure is defined as class IV cardiac failure with symptoms that do not respond to empiric treatment, which causes hypotension, renal failure, hyponatremia and/or symptomatic ventricular arrhythmias. It may be reversible or refractory. Refractory or "end-stage" heart failure is an indication for heart transplant, provided that: a) all reversible ethiologic factors have been corrected; and b) aggressive treatment in the intensive care unit under hemodynamic monitoring has not been able to stabilize heart failure.