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http://hdl.handle.net/2183/30277

Advanced heart failure: definition, epidemiology, and clinical course

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URI: http://hdl.handle.net/2183/30277

Publication date

2021-07-15

Authors

Barge-Caballero, Eduardo

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Bibliographic citation

Crespo-Leiro MG, Barge-Caballero E. Advanced heart failure: definition, epidemiology, and clinical course. Heart Fail Clin. 2021;17(4):533-545

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Abstract

[Abstract] Advanced heart failure (HF) is characterized by a progressive worsening of symptoms disabling for daily life, refractory to all therapies, and with high mortality. These patients may be candidates for life-prolonging therapies, such as heart transplantation (HT) or long-term (LT) mechanical circulatory support (MCS) or must just require palliative therapies. The 1-year survival after HT and/or LT-MCS is approaching 80% to 90%, being patient selection and timely referral to advanced HF centers critical for optimal outcomes. There is no single symptom, sign, or test that can identify these patients and different classifications are complementary and helpful for clinical decision-making.

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Keywords

Advanced heart failure Coordination and networking Definition Heart transplantation Mechanical circulatory support Prognosis Referral criteria Selection criteria

Editor version

https://doi.org/10.1016/j.hfc.2021.06.002

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Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC-BY-NC-ND 4.0)

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Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC-BY-NC-ND 4.0)

Except where otherwise noted, this item's license is described as Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC-BY-NC-ND 4.0)