Assessment of quality of life in severe heart failure.
Assessment of quality of life in severe heart failure.
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DOI：
10.1007/s11897-007-0037-y
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发表时间：
2007-09-01
影响因子：
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通讯作者：
Lewis, Eldrin F
中科院分区：
文献类型：
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作者：
Vaishnava, Prashant;Lewis, Eldrin F
改善健康相关的生活质量（HRQL）越来越被认为是心力衰竭（HF）管理的优先事项。在这篇综述中，我们强调了在严重HF患者中经常观察到的HRQL的显著改善，并特别强调了心脏栓塞治疗、左心室辅助装置和心脏康复的非药物治疗。我们将其与旨在治疗急性HF综合征的干预措施所观察到的HRQL改善不太一致并置。还提供了HRQL改善与对心血管发病率和死亡率的有害或中性影响平行的证据数据。我们得出结论与未来的方向，并使HF专用仪器的情况下，用于评估住院患者的HRQL，纵向研究中，HRQL随时间的推移，并继续关注那些严重和急性HF的喜好。
Improvement of health-related quality of life (HRQL) is increasingly recognized as a priority in the management of heart failure (HF). In this review, we highlight the dramatic improvement in HRQL often observed in patients with severe HF and give particular emphasis to the nonpharmacologic therapy of cardiac resynchronization therapy, left ventricular assist devices, and cardiac rehabilitation. We juxtapose this to the less consistent improvement in HRQL seen with interventions aimed at treatment of acute HF syndromes. Conflicting data wherein HRQL improves in parallel to a detrimental or neutral effect on cardiovascular morbidity and mortality are also presented. We conclude with future directions and make the case for HF-specific instruments intended for the assessment of HRQL in hospitalized patients, longitudinal studies in which HRQL is followed over time, and continued attention to the preferences of those with severe and acute HF.