Colombian consensus on advanced heart failure: Heart Failure, Heart Transplant and Pulmonary Hypertension Section of Colombian Society of Cardiology and Cardiovascular Surgery

Título traducido de la contribución: Consenso colombiano de falla cardíaca avanzada: capítulo de Falla Cardíaca, Trasplante Cardíaco e Hipertensión Pulmonar de la Sociedad Colombiana de Cardiología y Cirugía Cardiovascular

Juan Esteban Gómez-Mesa, Clara Saldarriaga, Adriana Milena Jurado, Alejandro Mariño, Alex Rivera, Álvaro Herrera, Andrés Felipe Buitrago, Ángel Alberto García, Antonio Figueredo, Edilma Lucy Rivera, Eduardo Contreras, Efraín Gómez, Erika María Martínez, Fernan Mendoza, Gina González, Héctor Ventura, John Alexander Ramírez, José R. González Juanatey, Juan Carlos Ortega, Leonardo SalazarManuel Gómez Bueno, María Juliana Rodríguez, Marisa Crespo Leiro, Nicolás Manito, Nubia Lucía Roa, Luis Eduardo Echeverría

Producción científica: Contribución a una revistaArtículo en revista científica indexadarevisión exhaustiva

8 Citas (Scopus)

Resumen

The most up-to-date definition of advanced heart failure includes symptoms refractory to conventional treatment (regardless of the left ventricular ejection fraction), accompanied by an elevation in natriuretic peptides. Specific conditions are highlighted in this new definition, such as the usual need of an intravenous diuretic, hospital admissions, or frequent consultations due to heart failure, intermittent inotropic medication, and recurrent malignant arrhythmias. This condition is present in approximately 4 to 6% of patients with heart failure and is associated with more symptoms, more comorbidities, and higher mortality (up to 75% at one year). On this point, the conventional treatments have failed, or are refractory, and decisions need to be taken to introduce more advanced treatments (for example: inotropic, ventricular assistance, palliative care, among others). The treatment represents a challenge for the Health Systems of Colombia due to the need to optimise and rationalise the use of these resources. For this reason, it must be considered that these patients, at any time during its course, may be sent for assessment in Heart Failure Clinics, as these services have highly qualified staff and an administrative, logistics, and technological structure that ensures access to an integral and multidisciplinary treatment with standards of international quality, which is what is finally required in these conditions. Different treatment options to consider are presented in the “Colombian consensus on advanced heart failure”, as well as an integral care model that begins from the time of the diagnosis until the refractory and advanced stages.

Título traducido de la contribuciónConsenso colombiano de falla cardíaca avanzada: capítulo de Falla Cardíaca, Trasplante Cardíaco e Hipertensión Pulmonar de la Sociedad Colombiana de Cardiología y Cirugía Cardiovascular
Idioma originalInglés
Páginas (desde-hasta)3-24
Número de páginas22
PublicaciónRevista Colombiana de Cardiologia
Volumen26
DOI
EstadoPublicada - jul. 2019
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2019 Sociedad Colombiana de Cardiología y Cirugía Cardiovascular

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  • Artículos de investigación con calidad Q4

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