PMID: 11605162Oct 18, 2001Paper

Surgical issues in heart failure: what's new?

Journal of Cardiac Failure
M C Oz

Abstract

Despite major advances in inotropic medications and our understanding of their proper use, surgical management of heart failure is the fastest-growing aspect of cardiovascular surgery. In addition to causing 750,000 deaths annually, myocardial infarctions leave an estimated 60,000 more patients in severe congestive heart failure and several times more individuals with compromised ventricular function. As these patients are offered reparative surgical options, surgeons, anesthesiologists, and cardiologists face physiologic challenges that can be optimally overcome only by modifying treatment strategies to address patients who have failed appropriate medical therapy, including milrinone, vasopressin, and nitric oxide. As our comfort with mechanical support increases, the threshold for embarking on these lines of treatment will be altered. Innovative devices have been created to meet this clinical need, but they must provide adequate quality of life to create sustainable value and health for society.

Citations

Nov 26, 2015·PloS One·Alessandro LaganàAhmet Kilic
Jun 27, 2003·Current Opinion in Cardiology·Matthias LoebeGeorge P Noon

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