| End-of-life options for patients with advanced heart failure. | |
| | |
MedLine Citation:
|
PMID: 20585999 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Heart failure is a progressive disease with significant morbidity and mortality, but prognostication often is difficult. Many of the evidence-based therapies for heart failure provide symptomatic benefit, but may have intolerable side effects for patients with advanced disease. At the end of life, there is evidence of varying strengths for pharmacologic and nonpharmacologic relief of common symptoms like dyspnea, fatigue, pain, and depression. Patients also may benefit from inotropic therapy, ventricular assist devices, and hospice care. It is important for physicians to encourage patients to formulate advance directives, including decisions about do not resuscitate orders and deactivation of implantable cardioverter-defibrillators and ventricular assist devices. |
| | |
Authors:
|
Judith Z Goldfinger; Eric D Adler |
Related Documents
:
|
17437589 - Dislodgement of atrial lead of the crt-d system and its migration into the pocket prese... 19156239 - Clinical experience with the tandemheart percutaneous ventricular assist device as a br... 16624689 - Lvad-induced reverse remodeling: basic and clinical implications for myocardial recovery. 15511449 - Extracorporeal membrane oxygenation is superior to right ventricular assist device for ... 8889879 - Mechanisms of dynamic cardiomyoplasty: current concepts. 11044309 - Midterm follow-up of patients who underwent removal of a left ventricular assist device... 15298699 - Outcome after acute myocardial infarction: a comparison of patients seen by cardiologis... 12372679 - Positron emission tomography, echo-doppler, and exercise studies of functional capacity... 18780659 - Cardiac troponins and left ventricular hypertrophy in hemodialysis patients. |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Current heart failure reports Volume: 7 ISSN: 1546-9549 ISO Abbreviation: Curr Heart Fail Rep Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-07-19 Completed Date: 2010-10-29 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101196487 Medline TA: Curr Heart Fail Rep Country: United States |
Other Details:
|
Languages: eng Pagination: 140-7 Citation Subset: IM |
Affiliation:
|
Department of Medicine, Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1118, New York, NY 10029, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cardiotonic Agents
/
therapeutic use Defibrillators, Implantable Heart Failure / complications, therapy* Heart-Assist Devices Hospice Care Humans Palliative Care / methods* Prognosis Resuscitation Orders Terminal Care / methods* |
| Chemical | |
Reg. No./Substance:
|
0/Cardiotonic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Variation in the vitamin D receptor gene is not associated with risk of colorectal cancer in the Cze...
Next Document: Quality-of-Life Measurements Versus Disease Activity in Systemic Lupus Erythematosus.