Different clinical scenarios for circulatory mechanical support in acute and chronic heart failure.
Chronic heart failure (HF) is a leading cause of death in developed countries. Over the last 2 decades, mechanical circulatory support (MCS) devices have steadily evolved in the clinical management of end-stage HF and have emerged as a standard of care for the treatment of acute and chronic HF refractory to conventional medical therapy. Possible indications for using MCS are acute cardiogenic shock, as a bridge to transplantation, as a bridge to recovery, and more recently, as destination therapy in dilated cardiomyopathy, of either ischemic or idiopathic etiology. We reviewed the different clinical scenarios in which we think there are currently indications to implant different kinds of MCS systems.
Vitali
Ettore
E
A. De Gasperis Cardiac Surgery and 2nd Cardiology Division, A. De Gasperis Department of Cardiothoracic and Vascular Medicine, Niguarda Ca'Granda Hospital, Piazza Ospedale Maggiore 3, 20162 Milan, Italy.
Colombo
Tiziano
T
Bruschi
Giuseppe
G
Garatti
Andrea
A
Russo
Claudio
C
Lanfranconi
Marco
M
Frigerio
Maria
M
D000208:Acute Disease; D006348:Cardiac Surgical Procedures; D002908:Chronic Disease; D003326:Coronary Circulation; D006333:Heart Failure / Q000503:physiopathology* / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans