Prioritizing and Combining Therapies for Heart Failure in the Era of Mechanical Support Devices.

Document Type

Article

Publication Date

7-1-2017

Publication Title

Interv Cardiol Clin

Abstract

Technological advances have promoted challenges to prioritizing and combining therapies for heart failure. The concept of prioritization implies distinct but inextricably linked considerations. They may be viewed from pathophysiologic, clinical, and procedural perspectives, encompassing analysis of hemodynamic status, anatomic considerations, and technical challenges. It is essential to consider factors, including conduction disease, renal and pulmonary function, hematological derangements, and so forth. These considerations allow determination of clinical goals, which determine prioritization and interventional strategies. These considerations then facilitate goal setting for medical and interventional therapies as definitive/destination, preservation/salvage, stepwise, bridge, or palliation.

Volume

6

Issue

3

First Page

465

Last Page

480

DOI

10.1016/j.iccl.2017.03.015

ISSN

2211-7466

PubMed ID

28600098

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