Management of advance heart failure: a review
Identifieur interne : 000377 ( Hal/Curation ); précédent : 000376; suivant : 000378Management of advance heart failure: a review
Auteurs : Eran Kalmonovich [France] ; Yohan Audurier [France] ; Mariama Akodad [France] ; Marc Mourad [France] ; Pascal Battistella [France] ; Audrey Agullo [France] ; Philippe Gaudard [France] ; Pascal Colson [France] ; Philippe Rouvière [France] ; Bernard Albat [France] ; Jean-Etienne Ricci [France] ; François Roubille [France]Source :
- Expert Review of Cardiovascular Therapy [ 1477-9072 ] ; 2018-10-03.
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Abstract
Heart failure (HF) has become a global pandemic. Despite recent developments in both medical and device treatments, HF incidences continues to increase. The current definition of HF restricts itself to stages at which clinical symptoms are apparent. In advanced heart failure (AdHF), it is universally accepted that all patients are refractory to traditional therapies. As the number of HF patients increase, so does the need for additional treatments, with an increased proportion of patients requiring advanced therapies. Areas covered: This review discusses extensive evidence for the effect of medical treatment on HF, although the data on the effect on AdHF is scare. Authors review the relevant literature for treating AdHF patients. Furthermore, mechanical circulatory devices (MCD) have emerged as an alternative to heart transplantation and have been shown to enhance quality of life and reduce mortality therefore authors also review the current literature on the different MCD and technologies. Expert commentary: More patients will need advanced therapies, as the access to heart transplantation is limited by the number of available donors. AdHF patients should be identified timely since the window of opportunities for advanced therapy is narrow as their morbidity is progressive and survival is often short.
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DOI: 10.1080/14779072.2018.1530112
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<profileDesc><textClass><keywords scheme="mix" xml:lang="en"><term>Advanced Heart failure</term>
<term>Mechanical Circulatory assist devices</term>
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<front><div type="abstract" xml:lang="en"> <p>Heart failure (HF) has become a global pandemic. Despite recent developments in both medical and device treatments, HF incidences continues to increase. The current definition of HF restricts itself to stages at which clinical symptoms are apparent. In advanced heart failure (AdHF), it is universally accepted that all patients are refractory to traditional therapies. As the number of HF patients increase, so does the need for additional treatments, with an increased proportion of patients requiring advanced therapies. Areas covered: This review discusses extensive evidence for the effect of medical treatment on HF, although the data on the effect on AdHF is scare. Authors review the relevant literature for treating AdHF patients. Furthermore, mechanical circulatory devices (MCD) have emerged as an alternative to heart transplantation and have been shown to enhance quality of life and reduce mortality therefore authors also review the current literature on the different MCD and technologies. Expert commentary: More patients will need advanced therapies, as the access to heart transplantation is limited by the number of available donors. AdHF patients should be identified timely since the window of opportunities for advanced therapy is narrow as their morbidity is progressive and survival is often short.</p>
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<author role="aut"> <persName> <forename type="first">François</forename>
<surname>Roubille</surname>
</persName>
<email type="md5">b0111e27ff9f7b03fbcadd7348af26ff</email>
<email type="domain">gmail.com</email>
<idno type="idhal" notation="string">francois-roubille</idno>
<idno type="idhal" notation="numeric">183497</idno>
<idno type="halauthorid">348957</idno>
<idno type="ORCID">https://orcid.org/0000-0002-5288-9687</idno>
<affiliation ref="#struct-449667"></affiliation>
<affiliation ref="#struct-258773"></affiliation>
</author>
</analytic>
<monogr> <idno type="halJournalId" status="VALID">12365</idno>
<idno type="issn">1477-9072</idno>
<idno type="eissn">1744-8344</idno>
<title level="j">Expert Review of Cardiovascular Therapy</title>
<imprint> <publisher>Expert Reviews</publisher>
<date type="datePub">2018-10-03</date>
</imprint>
</monogr>
<idno type="doi">10.1080/14779072.2018.1530112</idno>
<idno type="pubmed">30282492</idno>
</biblStruct>
</sourceDesc>
<profileDesc> <langUsage> <language ident="en">English</language>
</langUsage>
<textClass> <keywords scheme="author"> <term xml:lang="en">Advanced Heart failure</term>
<term xml:lang="en">Mechanical Circulatory assist devices</term>
<term xml:lang="en">Percutaneous Mechanical circulatory devices</term>
<term xml:lang="en">cardiogenic shock</term>
</keywords>
<classCode scheme="halDomain" n="sdv">Life Sciences [q-bio]</classCode>
<classCode scheme="halTypology" n="ART">Journal articles</classCode>
</textClass>
<abstract xml:lang="en"> <p>Heart failure (HF) has become a global pandemic. Despite recent developments in both medical and device treatments, HF incidences continues to increase. The current definition of HF restricts itself to stages at which clinical symptoms are apparent. In advanced heart failure (AdHF), it is universally accepted that all patients are refractory to traditional therapies. As the number of HF patients increase, so does the need for additional treatments, with an increased proportion of patients requiring advanced therapies. Areas covered: This review discusses extensive evidence for the effect of medical treatment on HF, although the data on the effect on AdHF is scare. Authors review the relevant literature for treating AdHF patients. Furthermore, mechanical circulatory devices (MCD) have emerged as an alternative to heart transplantation and have been shown to enhance quality of life and reduce mortality therefore authors also review the current literature on the different MCD and technologies. Expert commentary: More patients will need advanced therapies, as the access to heart transplantation is limited by the number of available donors. AdHF patients should be identified timely since the window of opportunities for advanced therapy is narrow as their morbidity is progressive and survival is often short.</p>
</abstract>
</profileDesc>
</hal>
</record>
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