(精选)valente.课件教学课件.pptVIP

L’impiego di device nello scompenso cardiaco avanzato;Definition;Severe symptoms of HF (NYHA III or IV) Fluid retention and/or low cardiac output at rest Objective evidence of severe cardiac dysfunction: low LVEF ( 30%) and/or elevated filling pressures and/or elevated NT pro BNP levels Severe impairment of functional capacity: inability to exercise and/or 6-MWD distance 300m and/or peak VO2 12-14 ml/kg/min At least one hospitalisation in the past 6 months Presence of all the previous features despite optmal medical therapy unless it is poorly tolerated or controidicated and CRT if indicate