Prioritizing and Combining Therapies for Heart Failure in the Era of Mechanical Support Devices.
Interv Cardiol Clin
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.
Medical Subject Headings
Decision Making; Heart Failure; Heart-Assist Devices; Hemodynamics; Humans; Palliative Care
Hanzel GS, Dixon S, Goldstein JA. Prioritizing and Combining Therapies for Heart Failure in the Era of Mechanical Support Devices. Interv Cardiol Clin. 2017 Jul;6(3):465-480. doi: 10.1016/j.iccl.2017.03.015. Epub 2017 May 10. Review. PubMed PMID: 28600098.