Mechanical circulatory supports – basic principles and clinical evidence

Česká verzia

Authors: Goncalvesová E.
Authors place of work: Národný ústav srdcových a cievnych chorôb, Bratislava ; Oddelenie pre zlyhávanie a transplantáciu srdca, Kardiologická klinika LF UK a NUSCH, Bratislava
Published in the journal: Kardiol Rev Int Med 2019, 21(2): 78-85

Summary

Severe heart failure with signs of cardiogenic shock, whether in cases of acute myocardial lesion or in the context of chronic heart failure, is a syndrome with a very poor prognosis. The only solution today is the use of a device that takes over the heart’s function. Mechanical circulatory supports are devices designed in a variety of ways to support or replace heart function as pumps, to a greater or lesser extent, for a longer or shorter period of time. In acute conditions, short-term support is being used to create a setting for myocardial recovery and/or a decision on further treatment. In highly selected patients with terminal chronic heart failure, the implantation of a long-term left ventricular assist device for bridging to heart transplantation or as a definitive treatment solution of left ventricular failure is usually indicated. The article provides a brief overview of the basic principles and results of the use of both short- and long-term mechanical circulatory support.

Keywords:

mechanical circulatory supports – classification – indications – durable devices

Zdroje

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