当其他一切都失败了,试试这个:HeartMate III左心室辅助设备
1Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Cardiovascular Center, 1500 East Medical Center Drive SPC 5853, Ann Arbor, MI 48109, USA.
Cardiology clinics
|September 24, 2023
概括
连续流动左心室辅助器件 (LVADs) 为高级心力衰竭患者提供了一种拯救生命的选择,这些患者对医疗治疗没有反应. 本综述详细介绍了LVADs,包括它们的使用,风险和结果.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 先进的心力衰竭治疗方法 治疗方法
背景情况:
- 心力衰竭 (HF) 是一种进展性疾病,影响了超过25万个减少喷射率的个体.
- 许多先进的HF患者对标准的医疗疗法具有耐药性.
- 由于移植供体心脏的有限可用性,需要使用替代治疗方法.
研究的目的:
- 为提供左心室辅助器件 (LVAD) 治疗的最新审查.
- 概述目前用于LVAD植入的指示和禁忌.
- 总结与LVAD相关的不良事件和患者结局.
主要方法:
- 关于LVADs的最近研究的文献综述.
- 对LVAD患者选择数据的分析.
- 汇编关于LVAD并发症和长期结果的信息.
主要成果:
- 对于等待移植或作为目的地治疗的高级心力衰竭患者来说,LVAD是关键的选择.
- 仔细选择患者至关重要,以优化结果并最大限度地降低风险.
- 不良事件需要警管理,但结果有所改善.
结论:
- LVADs显著改善了选择高级HF患者的生存率和生活质量.
- 目前正在进行的研究旨在进一步完善LVAD技术和患者管理.
- LVAD是现代心力衰竭管理策略的重要组成部分.
相关概念视频
Cardiomyopathy V: Interprofessional Care
14
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
14
Cardiac Catheterization III: Left Heart Catheterization
40
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
40
Heart Failure VI: Adjunct Therapies
16
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
16
Cardiomyopathy III: Hypertrophic Cardiomyopathy
16
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
16
Cardiomyopathy II: Dilated Cardiomyopathy
11
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
11
Heart Failure III: Clinical Manifestations
22
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
22


