心力衰竭器械治疗的研究进展

Device-Based Therapies for Heart Failure

心力衰竭具有全球高发病率和高病死率,药物治疗存在较大的局限性,心脏移植仅为极少数人的选择,因此器械治疗成为不可或缺的技术和手段。近年来,器械治疗发展迅速,尤其是心力衰竭的起搏治疗、经皮瓣膜修复术、循环支持治疗、全皮下植入式心律转复除颤器、房间隔分流装置、经皮心室修复术、神经调节治疗等方面,现逐一对其最新研究进展和发展前景进行综述。

Heart failure has a high global morbidity and mortality rate,and the therapeutic effect of drugs is still limited.Heart transplantation is also an option for very few people.The device treatment has become an indispensable technology and means.In recent years,there has been rapid development of the device treatment,especially in the aspects of heart failure pacing therapy,transcatheter mitral valve repair,circulatory support,subcutaneous implantable cardioverter defibrillator,interatrial shunt device,transcatheter ventricular repair,neuromodulation therapy,etc.This paper aimed at reviewing the research progress and development prospects of the above devices.