Ethical issues in heart failure - Overview of on emerging need

Ethical issues in heart failure - Overview of on emerging need
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DOI:
10.1353/pbm.2006.0009
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发表时间:
2006-12-01
影响因子:
1
通讯作者:
Kim, AY
Kim, AY
中科院分区:
医学4区
文献类型:
--
作者:
Kirkpatrick, JN;Kim, AY

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心血管医学的现代治疗方法旨在预防死亡,提高患者的生活质量。然而,心脏病专家往往专注于能做什么而不是应该做什么,在治疗乐观的过程中,后者的考虑可能被忽视。心血管治疗的成功挽救了生命,再加上人口老龄化,导致了心力衰竭的流行,这种疾病预示着相当大的发病率和死亡率,并引发了关于应该采取什么措施的重要问题。这篇文章和下面这一节的文章都阐述了对心力衰竭患者提出的问题进行伦理分析的新需求。在这篇综述中,我们讨论了终末期心力衰竭的临终关怀,心力衰竭的新疗法,以及心力衰竭的研究。
Modern therapies in cardiovascular medicine aim at preventing death and improving patients' quality of life. However, cardiologists often focus on what can be done rather than what should be done, and the latter consideration may be neglected in the midst of therapeutic optimism. The life-saving success of cardiovascular treatments, combined with an aging population, has created an epidemic of heart failure, a disease that portends considerable morbidity and mortality and raises important questions about what should be done. This and the following essays in this section address the emerging need for ethical analysis of issues raised by patients with heart failure. In this overview, we discuss end-of-life care in end-stage heart failure, new therapies for heart failure, and heart failure research.