Article: article from journal or magazin.
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Options chirurgicates pour l'insuffisance cardiaque terminale [Surgical options for terminal heart failure]
Revue médicale suisse
Publication types: English Abstract ; Journal Article ; Review - Publication Status: ppublish
Terminal heart failure can be the cause or the result of major dysfunctions of the organisms. Although, the outcome of the natural history is the same in both situations, it is of prime importance to differentiate the two, as only heart failure as the primary cause allows for successful mechanical circulatory support as bridge to transplantation or towards recovery. Various objective parameters allow for the establishment of the diagnosis of terminal heart failure despite optimal medical treatment. A cardiac index <2.0 l/min, and a mixed venous oxygen saturation <60%, in combination with progressive renal failure, should trigger a diagnostic work-up in order to identify cardiac defects that can be corrected or to list the patient for transplantation with/without mechanical circulatory support.
Assisted Circulation, Heart Failure, Heart Transplantation, Heart, Artificial, Humans, Kidney Failure, Oxygen, Prognosis
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