Falla cardíaca avanzada

Autores/as

  • Juan Manuel Sénior Universidad de Antioquia. Hospital Universitario San Vicente Fundación
  • Nelson Darío Giraldo-Ramírez Hospital Pablo Tobón Uribe

DOI:

https://doi.org/10.17533/udea.iatreia.26743

Palabras clave:

cuidados paliativos, guía, insuficiencia cardíaca

Resumen

Introducción: la falla cardíaca avanzada es una enfermedad grave con síntomas persistentes y limitación funcional grave, a pesar del tratamiento médico óptimo.

Metodología: para la creación de la guía de práctica clínica (GPC) basada en la evidencia se siguieron los pasos definidos en la Guía Metodológica para la Elaboración de Guías de Práctica Clínica con Evaluación Económica en el Sistema General de Seguridad Social en Salud Colombiano del Ministerio de Salud y Protección Social.

Resultados: se establecen las recomendaciones para el tratamiento de la falla cardíaca avanzada.

Conclusión: existen algunas alternativas terapéuticas como los dispositivos de asistencia ventricular y el trasplante cardíaco que impactan la mortalidad en este grupo de pacientes.

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Biografía del autor/a

Juan Manuel Sénior, Universidad de Antioquia. Hospital Universitario San Vicente Fundación

Coordinador del posgrado en Cardiología Clínica y Cardiologia Intervencionista, Universidad de Antioquia. Cardiólogo intervencionista, Hospital Universitario San Vicente Fundación, Medellín, Colombia.

Nelson Darío Giraldo-Ramírez, Hospital Pablo Tobón Uribe

Médico intensivista, Hospital Pablo Tobón Uribe, Medellín, Colombia.

Citas

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(98.) Rogers JG, Butler J, Lansman SL, Gass A, Portner PM, Pasque MK, et al. Chronic mechanical circulatory support for inotrope-dependent heart failure patients who are not transplant candidates: results of the INTrEPID Trial. J Am Coll Cardiol. 2007 Aug;50(8):741-7.

(99.) Aaronson KD, Slaughter MS, Miller LW, McGee EC, Cotts WG, Acker MA, et al. Use of an intrapericardial, continuous-flow, centrifugal pump in patients awaiting heart transplantation. Circulation. 2012 Jun;125(25):3191-200. DOI 10.1161/CIRCULATIONAHA.111.058412.

(100.) Rogers JG, Aaronson KD, Boyle AJ, Russell SD, Milano CA, Pagani FD, et al. Continuous flow left ventricular assist device improves functional capacity and quality of life of advanced heart failure patients. J Am Coll Cardiol. 2010 Apr;55(17):1826-34. DOI 10.1016/j.jacc.2009.12.052.

(101.) Sutcliffe P, Connock M, Pulikottil-Jacob R, Kandala NB, Suri G, Gurung T, et al. Clinical effectiveness and cost-effectiveness of second- and third-generation left ventricular assist devices as either bridge to transplant or alternative to transplant for adults eligible for heart transplantation: systematic review and cost-effectiveness model. Health Technol Assess. 2013 Nov;17(53):1-499, v-vi. DOI 10.3310/hta17530.

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07-02-2017

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Sénior JM, Giraldo-Ramírez ND. Falla cardíaca avanzada. Iatreia [Internet]. 7 de febrero de 2017 [citado 2 de febrero de 2025];29(4-S):S134-159. Disponible en: https://revistas.udea.edu.co/index.php/iatreia/article/view/26743

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