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Title

Prise en charge de l’insuffisance cardiaque terminale

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Published in Revue médicale suisse. 2005, vol. 1, no. 17, p. 1159-64
Abstract Non-medical approaches to end-stage heart failure (ESHF) include heart transplantation, but also implantable cardioverter-defibrillators, cardiac resynchronization therapy and ventricular assist devices. These techniques might be used as a bridge to transplant, as a bridge to recovery or as destination therapy. Optimal medical therapy of ESHF should include an angiotensin-converting enzyme inhibitor, a beta-blocker and spironolactone. Risk stratification in ESHF allows to determine the individual prognosis of each patient with parameters such as echocardiographic criteria, peak exercise oxygen consumption, or plasma BNP levels. Heart transplantation is to be considered if the individual prognosis obtained after stratification is worse than the expected survival of transplant recipients.
Keywords Heart Failure/diagnosis/therapyHumansRisk Assessment
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PMID: 15941088
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Article (Published version) (1 MB) - document accessible for UNIGE members only Limited access to UNIGE
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Research group Chirurgie cardio-vasculaire (105)
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SCHNETZLER, Bruno et al. Prise en charge de l’insuffisance cardiaque terminale. In: Revue médicale suisse, 2005, vol. 1, n° 17, p. 1159-64. https://archive-ouverte.unige.ch/unige:39524

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Deposited on : 2014-08-19

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