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author V. V. Kalyuzhin
A. T. Teplyakov
I. D. Bespalova
E. V. Kalyuzhina
N. N. Terentyeva
O. F. Sibireva
E. V. Grakova
V. Yu. Usov
M. A. Osipova
author_facet V. V. Kalyuzhin
A. T. Teplyakov
I. D. Bespalova
E. V. Kalyuzhina
N. N. Terentyeva
O. F. Sibireva
E. V. Grakova
V. Yu. Usov
M. A. Osipova
author_sort V. V. Kalyuzhin
collection DOAJ
description The authors of the article have analyzed the problem of advanced heart failure (AHF). Despite significant and, it is not an exaggeration to say, revolutionary achievements in clinical pharmacology, cardiac surgery and implantation arrhythmology, the number of patients with chronic heart failure (CHF) in many  countries is not decreasing, and in some, for example, in Russia, it is increasing. At the same time, unfortunately, often the immediate and longterm results of the so-called optimal therapy of CHF are disappointing for both the patient and the doctor. In 2007, experts from The Heart Failure Association of the European Society of Cardiology proposed the term AHF to refer to CHF in which optimal drug therapy, as well as cardiac resynchronization therapy, are not effective, which causes repeated hospitalizations and justifies the need for the advanced  treatment methods such as heart transplantation and mechanical circulatory support, and/or transition to palliative care. The agreed positions of experts from the established cardiological communities in the Old and New Worlds on the definition, diagnostic criteria and treatment of AHF have been changing over time. Unfortunately, this evolution has not yet arrived at a consensus. The lecture consistently addresses the issues of terminology, diagnosis, prognostic stratification and routing of patients with AHF, as well as short- and long-term strategies for treating these patients.
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1819-3684
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spelling doaj.art-f2cdf1eda40a4b599a8431805e5c36372023-03-13T09:58:27ZengSiberian State Medical University (Tomsk)Бюллетень сибирской медицины1682-03631819-36842021-04-0120112914610.20538/1682-0363-2021-1-129-1462763Advanced heart failureV. V. Kalyuzhin0A. T. Teplyakov1I. D. Bespalova2E. V. Kalyuzhina3N. N. Terentyeva4O. F. Sibireva5E. V. Grakova6V. Yu. Usov7M. A. Osipova8Сибирский государственный медицинский университет (СибГМУ)Научно-исследовательский институт (НИИ) кардиологии, Томский национальный исследовательский медицинский центр (НИМЦ) Российской академии наукСибирский государственный медицинский университет (СибГМУ)Сибирский государственный медицинский университет (СибГМУ)Сургутский государственный университет (СурГУ)Сибирский государственный медицинский университет (СибГМУ); Томская областная клиническая больница (ТОКБ)Научно-исследовательский институт (НИИ) кардиологии, Томский национальный исследовательский медицинский центр (НИМЦ) Российской академии наукНаучно-исследовательский институт (НИИ) кардиологии, Томский национальный исследовательский медицинский центр (НИМЦ) Российской академии наукМедико-санитарная часть Министерства внутренних дел России по Томской области (МСЧ МВД России по Томской области)The authors of the article have analyzed the problem of advanced heart failure (AHF). Despite significant and, it is not an exaggeration to say, revolutionary achievements in clinical pharmacology, cardiac surgery and implantation arrhythmology, the number of patients with chronic heart failure (CHF) in many  countries is not decreasing, and in some, for example, in Russia, it is increasing. At the same time, unfortunately, often the immediate and longterm results of the so-called optimal therapy of CHF are disappointing for both the patient and the doctor. In 2007, experts from The Heart Failure Association of the European Society of Cardiology proposed the term AHF to refer to CHF in which optimal drug therapy, as well as cardiac resynchronization therapy, are not effective, which causes repeated hospitalizations and justifies the need for the advanced  treatment methods such as heart transplantation and mechanical circulatory support, and/or transition to palliative care. The agreed positions of experts from the established cardiological communities in the Old and New Worlds on the definition, diagnostic criteria and treatment of AHF have been changing over time. Unfortunately, this evolution has not yet arrived at a consensus. The lecture consistently addresses the issues of terminology, diagnosis, prognostic stratification and routing of patients with AHF, as well as short- and long-term strategies for treating these patients.https://bulletin.ssmu.ru/jour/article/view/4287прогрессирующая сердечная недостаточностьопределениеиндикаторыпрогностическая стратификацияклинические маркерыбиомаркерывизуализациятест с физической нагрузкойсопутствующие заболеваниястратегии ведениямеханическая поддержка кровообращениятрансплантация сердца
spellingShingle V. V. Kalyuzhin
A. T. Teplyakov
I. D. Bespalova
E. V. Kalyuzhina
N. N. Terentyeva
O. F. Sibireva
E. V. Grakova
V. Yu. Usov
M. A. Osipova
Advanced heart failure
Бюллетень сибирской медицины
прогрессирующая сердечная недостаточность
определение
индикаторы
прогностическая стратификация
клинические маркеры
биомаркеры
визуализация
тест с физической нагрузкой
сопутствующие заболевания
стратегии ведения
механическая поддержка кровообращения
трансплантация сердца
title Advanced heart failure
title_full Advanced heart failure
title_fullStr Advanced heart failure
title_full_unstemmed Advanced heart failure
title_short Advanced heart failure
title_sort advanced heart failure
topic прогрессирующая сердечная недостаточность
определение
индикаторы
прогностическая стратификация
клинические маркеры
биомаркеры
визуализация
тест с физической нагрузкой
сопутствующие заболевания
стратегии ведения
механическая поддержка кровообращения
трансплантация сердца
url https://bulletin.ssmu.ru/jour/article/view/4287
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AT evgrakova advancedheartfailure
AT vyuusov advancedheartfailure
AT maosipova advancedheartfailure