在左心室辅助器件中输血提取患者患者
Sunil Kapur1, Thomas M Tadros1, Melanie Maytin1
1Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Cardiac electrophysiology clinics
|May 15, 2024
概括
需要机械支持的晚期心力衰竭患者的数量正在增加. 心血管植入式电子设备并发症在左心室辅助器件患者中很常见,但缺乏管理指南.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 心脏衰竭管理的管理
背景情况:
- 在全球范围内,高级心力衰竭的患病率正在增加.
- 机械循环支持,包括左心室辅助装置 (LVADs),越来越多地被使用.
- 与LVAD同时使用心血管植入式电子设备 (CIED) 变得越来越普遍.
研究的目的:
- 突出了对LVAD患者CIED并发症的管理策略的日益增长的需求.
- 为了强调缺乏管理这些复杂案件的具体指导方针.
- 为了强调与CIED相关的问题在LVAD接受者的频繁发生.
主要方法:
- 对LVAD和CIED相互作用的当前文献的综述.
- 分析报告的并发症和管理策略.
- 识别现有临床建议中的差距.
主要成果:
- 在LVAD患者中,CIED并发症很常见.
- 这些并发症往往需要干预,例如设备系统修改和取.
- 确立的管理方案和临床指导方针显著缺乏.
结论:
- 迫切需要对LVAD患者CIED并发症的有效管理策略.
- 制定基于证据的指导方针对于优化患者护理至关重要.
- 需要进一步的研究来应对这一临床挑战.
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