Organization of treatment of patients with cardiac insufficiency of different origin.
Assisted circulation is now used in the treatment of severe forms of heart failure which complicate the course of many diseases. Application of one method of assisted circulation--intra-aortic counterpulsation by a balloon pump in cardiogenic shock--was successful: prolonged survival (over 1 year) was obtained in 18% of the patients. A further decrease in the mortality rate is dependent on the rational organization of treatment for these patients. This poses two major problems: the organization of treatment of patients in cardiogenic shock and postoperative heart failure in large cardiologic and heart surgery centers, and treatment of heart failure in patients in whom it has occurred secondarily. We developed a method of organizing the treatment of these patients beginning in the prehospital stage and continuing in a specialized hospital. In addition to methods of assisted circulation, various intensive care methods and hemosorption (in poisoning by liver toxins), hemodialysis (in anuria), etc., are used. Although this type of organization complicates therapy, the results are significantly improved.
D006333:Heart Failure / Q000401:mortality / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D009203:Myocardial Infarction / Q000628:therapy; D012770:Shock, Cardiogenic / Q000628:therapy