The American Heart Association has recommended that palliative care be integrated into the care of all patients with advanced cardiac illnesses. Notwithstanding, the number of patients receiving specialist palliative intervention worldwide remains extremely small. This review examines the nature of palliative care and what is known about its delivery to patients with cardiac illness. Most of the published literature on the subject concern advanced heart failure; however, some data also exist regarding patients with heart transplantation, pulmonary hypertension, valvular disease, congenital heart disease, indwelling devices, mechanical circulatory support, and advanced coronary disease. In addition, outcome data, certification requirements, workforce challenges, barriers to implementation, and a potential caveat about palliative care will also be examined. Further work is required regarding appropriate means of implementation, quality control, and timing of intervention.

中文翻译：

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姑息治疗在心血管疾病中的作用。

美国心脏协会建议将姑息治疗纳入所有晚期心脏病患者的护理中。尽管如此，全球接受专业姑息治疗的患者数量仍然极少。这篇综述探讨了姑息治疗的性质以及对心脏病患者提供姑息治疗的已知情况。大多数已发表的关于该主题的文献都涉及晚期心力衰竭；然而，也存在一些关于心脏移植、肺动脉高压、瓣膜病、先天性心脏病、留置装置、机械循环支持和晚期冠心病患者的数据。此外，还将审查结果数据、认证要求、劳动力挑战、实施障碍以及关于姑息治疗的潜在警告。需要在适当的实施手段、质量控制和干预时机方面开展进一步的工作。