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心力衰竭是心血管疾病患者死亡的重要原因之一,已成为全球心血管疾病治疗新的挑战。药物治疗能改善症状,降低病死率。近年来,越来越多的临床试验和注册研究证据证实,器械治疗能在药物治疗基础上,进一步降低心力衰竭患者的病死率,逆转左室重构,改善生活质量。心力衰竭的器械治疗最初主要是再同步化治疗、植入式心律转复除颤器,近年来还出现了心肌收缩力调节器、左室辅助装置、迷走神经及脊髓刺激等多种器械治疗方式。本文就心力衰竭器械治疗的最新进展进行综述。
Heart failure is one of the important causes of death in patients with cardiovascular diseases and has become a new challenge in the treatment of cardiovascular diseases in the world. Medication can improve symptoms and reduce mortality. In recent years, more and more clinical trials and evidence of registration studies confirm that device therapy can further reduce the mortality of patients with heart failure, reverse left ventricular remodeling, and improve the quality of life on the basis of drug therapy. The initial treatment of heart failure is mainly resynchronization therapy, implantable cardioverter defibrillator, in recent years there have been myocardial contractility regulators, left ventricular assist device, vagus nerve and spinal stimulation and other equipment treatment. This article reviews the latest advances in the treatment of heart failure devices.