کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
10165493 | 1180236 | 2016 | 14 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Current Status of Left Ventricular Assist Device Therapy
ترجمه فارسی عنوان
وضعیت فعلی دستگاه درمان کمک به بطن چپ
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کلمات کلیدی
MPCFDAHeartMateINTERMACSBTTAVWSLVADNYHAINRvWFMCsHTx - HTXInteragency Registry for Mechanically Assisted Circulatory Support - Registry Interagency برای حمایت از سیستم گردش خون کمک مکانیکیNew York Heart Association - انجمن قلب نیویورکRight ventricular - بطن راستContinuous flow - جریان مداومPulsatile flow - جریحه دارleft ventricular assist device - دستگاه کمکی بطن قلبGastrointestinal - دستگاه گوارشFood and Drug Administration - سازمان غذا و داروacquired von Willebrand syndrome - سندرم فون ویلبراند به دست آوردVon Willebrand factor - عامل فون ویلبراندdestination therapy - مقصد درمانheart failure - نارسایی قلبیInternational Normalized Ratio - نسبت عادی بین المللیbridge to transplant - پل به پیوندHeart transplant - پیوند قلب
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
Congestive heart failure (HF) remains a serious burden in the Western World. Despite advances in pharmacotherapy and resynchronization, many patients have progression to end-stage HF. These patients may be candidates for heart transplant or left ventricular assist device (LVAD) therapy. Heart transplants are limited by organ shortages and in some cases by patient comorbidities; therefore, LVAD therapy is emerging as a strategy of bridge to transplant or as a destination therapy in patients ineligible for transplant. Patients initially ineligible for a transplant may, in certain cases, become eligible for transplant after physiologic improvement with LVAD therapy, and a small number of patients with an LVAD may have sufficient recovery of myocardial function to allow device explantation. This clinically oriented review will describe (1) the most frequently used pump types and aspects of the continuous-flow physiology and (2) the clinical indications for and the shift toward the use of LVADs in less sick patients with HF. Additionally, we review complications of LVAD therapy and project future directions in this field. We referred to the Interagency Registry for Mechanically Assisted Circulatory Support, landmark trials, and results from recently published studies as major sources in obtaining recent outcomes, and we searched for related published literature via PubMed. This review focuses primarily on clinical practice for primary care physicians and non-HF cardiologists in the United States.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Mayo Clinic Proceedings - Volume 91, Issue 7, July 2016, Pages 927-940
Journal: Mayo Clinic Proceedings - Volume 91, Issue 7, July 2016, Pages 927-940
نویسندگان
Pavol MD, Avishay MD, Brook S. MD, Sudhir S. MD, John M. MD, David L. MD, Lyle D. MD, PhD, Richard C. MD, Tomas MD, PhD, John A. MD,