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\u0627\u0644\u062b\u0627\u0644\u062b \u0645\u0646 \u0627\u0644(LVADs) \u0627\u0645\u0643\u0646 \u062a\u062d\u0642\u064a\u0642 \u0627\u0646\u062e\u0641\u0627\u0636\u0627\u064b \u0643\u0628\u064a\u0631\u0627\u064b \u0622\u062e\u0631 \u0641\u064a \u0627\u0644\u062d\u062c\u0645. \u0648\u0627\u0644\u0645\u062b\u0627\u0644 \u0627\u0644\u0631\u0627\u0626\u062f \u0645\u0646 \u0647\u0630\u0647 \u0627\u0644\u0623\u062c\u0647\u0632\u0629 \u0647\u0648 \u062c\u0647\u0627\u0632 (HeartWare)<br \/>\n\u0648\u0647\u0648 \u0627\u064a\u0636\u0627\u064b \u0645\u0646 \u0635\u0646\u0627\u0639\u0629 \u0634\u0631\u0643\u0629 (HeartWare Inc. \u060c Framingham \u060c MA, USA) \u0641\u064a \u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629 \u0627\u0644\u0623\u0645\u064a\u0631\u0643\u064a\u0629. \u0648\u0628\u0633\u0628\u0628 \u0627\u0644\u062d\u062c\u0645 \u0627\u0644\u0635\u063a\u064a\u0631 \u0644\u0647\u0630\u0647 \u0627\u0644\u0645\u0636\u062e\u0651\u0627\u062a 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\u062a\u064f\u0642\u062f\u0651\u0631 \u0628\u0640 10 \u0633\u0646\u0648\u0627\u062a.<br \/>\n\u0648\u064a\u0645\u0643\u0646 \u062d\u0627\u0644\u064a\u0627\u064b \u0632\u0631\u0639 \u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u062b\u0627\u0646\u064a \u0648\u0627\u0644\u062b\u0627\u0644\u062b \u0645\u0646 \u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0628\u064f\u0637\u064a\u0646\u064a\u0629 \u0628\u062f\u0648\u0646 \u0634\u0642 \u0643\u0627\u0645\u0644 \u0644\u0639\u0638\u0645\u0629 \u0627\u0644\u0642\u0635\u0651 (Total (sternotomy\u060c \u0639\u0646 \u0637\u0631\u064a\u0642 \u0628\u0636\u0639 \u0627\u0644\u0635\u062f\u0631 \u0627\u0644\u062b\u0646\u0627\u0626\u064a \u0627\u064a \u0639\u0646 \u0637\u0631\u064a\u0642 \u0625\u062c\u0631\u0627\u0621 \u0641\u062a\u062d\u0627\u062a \u0635\u063a\u064a\u0631\u0629 \u0641\u064a \u0627\u0644\u0635\u062f\u0631 \u0645\u0646 \u0627\u0644\u0646\u0627\u062d\u064a\u062a\u064a\u0646 \u0627\u0644\u064a\u0633\u0631\u0649 \u0648\u0627\u0644\u064a\u0645\u0646\u0649. \u0648\u064a\u0645\u0643\u0646 \u0644\u0644\u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u0645\u0630\u0643\u0648\u0631\u0629 \u0623\u0639\u0644\u0627\u0647 \u0625\u0646\u062a\u0627\u062c \u062a\u062f\u0641\u0651\u0642 \u0644\u0644\u062f\u0645\u0651 \u0642\u062f \u064a\u0635\u0644 \u0625\u0644\u0649 10 \u0644\u062a\u064a\u0631\u0627\u062a \u0641\u064a \u0627\u0644\u062f\u0642\u064a\u0642\u0629 \u060c \u0645\u0639 \u062a\u0648\u0641\u064a\u0631 \u0627\u0644\u062f\u0639\u0645 \u0627\u0644\u0643\u0627\u0645\u0644 \u0644\u0644\u062f\u0648\u0631\u0629 \u0627\u0644\u062f\u0645\u0648\u064a\u0629. \u0648\u0645\u0639 (HeartMate 3 \u0645\u0646 Thoratec) \u064a\u062a\u0648\u0641\u0631 \u062d\u0627\u0644\u064a\u0627\u064b \u0627\u0630\u0627\u064b \u062c\u064a\u0644 \u062b\u0627\u0644\u062b \u0622\u062e\u0631 \u0645\u0646 (LVAD) \u0644\u0639\u0644\u0627\u062c \u0642\u0635\u0648\u0631 \u0627\u0644\u0642\u0644\u0628 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\u0627\u0644\u062c\u0627\u0646\u0628\u064a\u0629 \u0641\u064a \u062a\u062d\u0633\u0651\u0646 \u0645\u0633\u062a\u0645\u0631\u0651. \u0648\u0641\u064a \u062a\u062c\u0631\u0628\u0629 (ReVOLVE) \u0645\u062a\u0639\u062f\u062f\u0629 \u0627\u0644\u0645\u0631\u0627\u0643\u0632 \u060c \u062a\u0644\u0642\u0649 \u0645\u0627 \u0645\u062c\u0645\u0648\u0639\u0647 254 \u0645\u0631\u064a\u0636\u064b\u0627 \u062c\u0647\u0627\u0632\u0627\u064b (HeartWare) \u0648\u0623\u0638\u0647\u0631\u0648\u0627 \u0645\u0639\u062f\u0644\u0627\u062a \u0628\u0642\u0627\u0621 \u062c\u064a\u062f\u0629 \u0628\u0639\u062f \u0633\u062a\u0629 \u0623\u0634\u0647\u0631 (87\u066a) \u0648\u0628\u0639\u062f \u0633\u0646\u0629 \u0648\u0627\u062d\u062f\u0629 (85\u066a) \u0648\u0633\u0646\u062a\u064a\u0646 (79\u066a) \u0648\u062b\u0644\u0627\u062b \u0633\u0646\u0648\u0627\u062a (73\u066a).<br \/>\n\u0648\u062a\u0645 \u0627\u0644\u0625\u0628\u0644\u0627\u063a \u0639\u0646 \u0646\u062a\u0627\u0626\u062c \u0645\u064f\u0645\u0627\u062b\u0644\u0629 \u0644\u0640 (HeartMate III) \u0627\u0644\u062c\u062f\u064a\u062f: \u062d\u064a\u062b \u062a\u0645\u0651 \u062a\u0633\u062c\u064a\u0644 50 \u0645\u0631\u064a\u0636\u0627\u064b \u0628\u064a\u0646 \u0634\u0647\u0631 \u062d\u0632\u064a\u0631\u0627\u0646 (\u064a\u0648\u0646\u064a\u0648) \u0648\u062a\u0634\u0631\u064a\u0646 \u062b\u0627\u0646\u064a (\u0646\u0648\u0641\u0645\u0628\u0631) 2014 \u0641\u064a \u062a\u062c\u0631\u0628\u0629 \u0627\u0633\u062a\u0628\u0627\u0642\u064a\u0629 \u0645\u064f\u062a\u0639\u062f\u0651\u062f\u0629 \u0627\u0644\u0645\u0631\u0627\u0643\u0632 \u0644\u062a\u0642\u064a\u064a\u0645 \u0633\u0644\u0627\u0645\u0629 \u0648\u0641\u0639\u0627\u0644\u064a\u0629 \u0647\u0630\u0627 \u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u062b\u0627\u0644\u062b \u0645\u0646 \u062c\u0647\u0627\u0632 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0628\u0637\u064a\u0646\u064a\u0629 (LVAD). \u0648\u062a\u0645\u062a \u0645\u0642\u0627\u0631\u0646\u0629 \u0645\u0639\u062f\u0651\u0644\u0627\u062a \u0627\u0644\u0628\u0642\u0627\u0621 \u0639\u0644\u0649 \u0642\u064a\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0645\u0639 \u0645\u062c\u0645\u0648\u0639\u0629 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0645\u062a\u0637\u0627\u0628\u0642\u0629 \u060c \u0627\u0644\u0645\u0633\u062a\u0645\u062f\u0629 \u0645\u0646 \u062a\u0642\u0631\u064a\u0631 (INTERMACS) \u0627\u0644\u0633\u0646\u0648\u064a. \u0645\u0639 \u0645\u0639\u062f\u0644 \u0627\u0644\u0628\u0642\u0627\u0621 \u0639\u0644\u0649 \u0642\u064a\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0644\u0645\u062f\u0629 6 \u0623\u0634\u0647\u0631 \u064a\u0635\u0644 \u0627\u0644\u0649 92\u066a \u0648\u0647\u0648 \u0645\u0639\u062f\u0651\u0644 \u0645\u0631\u062a\u0641\u0639 \u0648\u062c\u064a\u0651\u062f \u062c\u062f\u0627\u064b\u060c \u0645\u0639 \u062d\u0635\u0648\u0644 \u0645\u0639\u062f\u0644\u0627\u062a \u0645\u0642\u0628\u0648\u0644\u0629 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\u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0641\u064a \u0639\u0627\u0645 2006\u060c \u0628\u062d\u064a\u062b \u062a\u0645\u0651 \u0625\u062f\u062e\u0627\u0644 \u0625\u062c\u0645\u0627\u0644\u064a 15\u060c745 \u0639\u0645\u0644\u064a\u0629 \u0632\u0631\u0639 (VAD) \u0641\u064a \u0642\u0627\u0639\u062f\u0629 \u0628\u064a\u0627\u0646\u0627\u062a (INTERMACS) \u062d\u062a\u0649 \u0639\u0627\u0645 2013. \u0648\u0642\u062f \u0627\u0631\u062a\u0641\u0639 \u0645\u0639\u062f\u0644 \u0627\u0644\u0632\u0631\u0639 \u0627\u0644\u0633\u0646\u0648\u064a \u0644\u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u062a\u062f\u0641\u0642 \u0627\u0644\u0645\u0633\u062a\u0645\u0631 \u0628\u0645\u0639\u062f\u0651\u0644 96.8\u066a \u0641\u064a \u0627\u0644\u0639\u0627\u0645 2016 . \u0648\u0642\u062f \u062a\u0644\u0642\u0651\u0649 \u062b\u0644\u0627\u062b\u0648\u0646 \u0628\u0627\u0644\u0645\u0627\u0626\u0629 \u0645\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0647\u0630\u0647 \u0627\u0644\u0623\u062c\u0647\u0632\u0629 \u0643\u062c\u0633\u0631 \u0644\u0644\u0639\u0628\u0648\u0631 \u0644\u0644\u0632\u0631\u0627\u0639\u0629 (BTT) \u060c \u064846\u066a \u0639\u0644\u0649 \u0634\u0643\u0644 \u062d\u0644 \u0646\u0647\u0627\u0626\u064a \u0627\u0648 \u0627\u0635\u064a\u0644 (DT) \u0648 23\u066a \u0643\u062c\u0633\u0631 \u0644\u0644\u062a\u0631\u0634\u064a\u062d \u0644\u0642\u0627\u0626\u0645\u0629 \u0627\u0644\u0625\u0646\u062a\u0638\u0627\u0631 \u0639\u0646\u062f \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u0644\u062f\u064a\u0647\u0645 \u0625\u0645\u0643\u0627\u0646\u064a\u0629 \u0645\u062a\u0648\u0642\u0639\u0629 \u0644\u0644\u0625\u062f\u0631\u0627\u062c \u0639\u0644\u0649 \u062a\u0644\u0643 \u0627\u0644\u0644\u0648\u0627\u0626\u062d. \u0648\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0645\u0631\u064a\u0636 \u0642\u062f \u062a\u0645\u0651 \u0625\u062f\u0631\u0627\u062c\u0647 \u0639\u0644\u0649 \u0644\u0648\u0627\u0626\u062d \u0627\u0644\u0632\u0631\u0639\u060c \u0641\u0642\u062f \u062a\u0644\u0642\u0649 30 \u066a \u0645\u0646\u0647\u0645 \u0639\u0636\u0648\u0627\u064b \u0644\u0644\u0632\u0631\u0639 \u062e\u0644\u0627\u0644 \u0627\u0644\u0633\u0646\u0629 \u0627\u0644\u0623\u0648\u0644\u0649.<br \/>\n\u0648\u0628\u0627\u0644\u0646\u0633\u0628\u0629 \u0644\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u064a\u062e\u0636\u0639\u0648\u0646 \u0644\u0639\u0645\u0644\u064a\u0629 \u0632\u0631\u0639 \u0627\u0644 (VAD) \u0628\u0627\u0644\u062a\u062f\u0641\u0642 \u0627\u0644\u0645\u0633\u062a\u0645\u0631\u0651 \u0628\u064a\u0646 \u0639\u0627\u0645\u064a 2008 \u06482014\u060c \u062a\u0628\u0644\u063a \u0646\u0633\u0628\u0629 \u0627\u0644\u0628\u0642\u0627\u0621 \u0639\u0644\u0649 \u0642\u064a\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0644\u0645\u062f\u0629 \u0639\u0627\u0645 \u0648\u0627\u062d\u062f 76\u066a \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0648\u0649 1 \u0627\u0644\u0645\u062e\u0627\u0637\u0631 \u0641\u064a \u062f\u0631\u0627\u0633\u0629 (INTERMACS) (\u0648\u0647\u0648 \u0627\u0644\u0645\u0633\u062a\u0648\u0649 \u0627\u0644\u0623\u0639\u0644\u0649 \u062e\u0637\u0648\u0631\u0629)\u060c \u064880\u066a \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0648\u0649 2\u20133 \u0645\u0646 (INTERMACS) \u064882\u066a \u0644\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u064a\u0639\u0627\u0646\u0648\u0646 \u0645\u0646 \u0627\u0644\u0645\u0633\u062a\u0648\u0649 4-7 \u0645\u0646 (INTERMACS). \u0627\u0645\u0627 \u0627\u0644\u0628\u0642\u0627\u0621 \u0639\u0644\u0649 \u0642\u064a\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0644\u0645\u062f\u0629 \u0639\u0627\u0645\u064a\u0646 \u0644\u0644\u0645\u0631\u0636\u0649 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0648\u0649 4-7 \u0641\u0647\u0648 72\u066a \u0648\u0627\u0644\u0628\u0642\u0627\u0621 \u0639\u0644\u0649 \u0642\u064a\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0644\u0645\u062f\u0629 4 \u0633\u0646\u0648\u0627\u062a \u0641\u0644\u0627 \u064a\u0632\u0627\u0644 49\u066a. \u0648\u0644\u0630\u0644\u0643 \u062a\u0643\u0627\u062f \u062a\u0643\u0648\u0646 \u0645\u064f\u0639\u062f\u0651\u0644\u0627\u062a \u0627\u0644\u0628\u0642\u0627\u0621 \u0639\u0644\u0649 \u0642\u064a\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0644\u0645\u062f\u0629 \u0633\u0646\u0629 \u0648\u0633\u0646\u062a\u064a\u0646 \u0644\u0644\u0639\u0644\u0627\u062c \u0628\u062c\u0647\u0627\u0632 (LVAD) \u0642\u0627\u0628\u0644\u0629 \u0644\u0644\u0645\u0642\u0627\u0631\u0646\u0629 \u0645\u0639 \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0644\u062a\u064a \u0646\u062d\u0635\u0644 \u0639\u0644\u064a\u0647\u0627 \u0645\u0639 \u062c\u0631\u0627\u062d\u0629 \u0632\u0631\u0627\u0639\u0629 \u0627\u0644\u0642\u0644\u0628 \u0627\u0644\u0637\u0628\u064a\u0639\u064a.<\/p>\n<p>5-\u0627\u0644\u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0631\u0626\u064a\u0633\u064a\u0629 \u0644\u0644\u0648\u0641\u0627\u0629 \u0639\u0646\u062f \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u064a\u064f\u0632\u0631\u0639 \u0639\u0646\u062f\u0647\u0645 \u0647\u0643\u0630\u0627 \u0627\u062c\u0647\u0632\u0629:<br \/>\n\u0628\u0627\u0644\u0646\u0638\u0631 \u0627\u0644\u0649 \u0627\u0644\u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0631\u0626\u064a\u0633\u064a\u0629 \u0644\u0644\u0648\u0641\u0627\u0629 \u0639\u0646\u062f \u0647\u0643\u0630\u0627 \u0645\u0631\u0636\u0649 \u0641\u0647\u064a \u0627\u0644\u0623\u062d\u062f\u0627\u062b \u0627\u0644\u0639\u0635\u0628\u064a\u0629 \u0645\u062b\u0644 \u0627\u0644\u062c\u0644\u0637\u0627\u062a \u0648\u0627\u0644\u0646\u0632\u064a\u0641 \u0627\u0644\u062f\u0645\u0627\u063a\u064a\u060c \u0627\u0644\u0641\u0634\u0644 \u0645\u064f\u062a\u0639\u062f\u0651\u062f \u0627\u0644\u0623\u0639\u0636\u0627\u0621\u060c \u0645\u0645\u0627 \u064a\u0633\u0627\u0647\u0645 \u0641\u064a \u0645\u0627 \u064a\u0635\u0644 \u0625\u0644\u0649 \u062b\u0644\u062b \u0627\u0644\u0648\u0641\u064a\u0627\u062a. \u0643\u0630\u0644\u0643 \u0647\u0646\u0627\u0643 \u0625\u0645\u0643\u0627\u0646\u064a\u0629 \u062d\u062f\u0648\u062b \u0639\u0637\u0644 \u0645\u0644\u062d\u0648\u0638 \u0648\u0645\u0645\u064a\u062a \u0641\u064a \u0627\u0644\u062c\u0647\u0627\u0632 \u0628\u0646\u0633\u0628\u0629 3.5\u066a.<br \/>\n\u0648\u0623\u0643\u062b\u0631 \u0627\u0644\u0623\u062d\u062f\u0627\u062b \u0648\u0627\u0644\u0625\u062e\u062a\u0644\u0627\u0637\u0627\u062a \u0627\u0644\u062c\u0627\u0646\u0628\u064a\u0629 \u0627\u0644\u0623\u0643\u062b\u0631 \u0634\u064a\u0648\u0639\u0627\u064b \u0647\u064a \u0627\u0644\u0646\u0632\u064a\u0641 (7.8\u066a)\u060c \u0639\u062f\u0645 \u0625\u0646\u062a\u0638\u0627\u0645 \u0636\u0631\u0628\u0627\u062a \u0627\u0644\u0642\u0644\u0628 (4.1\u066a)\u060c \u0627\u0644\u0625\u0644\u062a\u0647\u0627\u0628\u0627\u062a \u0627\u0644\u062d\u0627\u062f\u0629 \u062e\u0627\u0635\u0629 \u0641\u064a \u0643\u0627\u0628\u0644\u0627\u062a \u0627\u0644\u062a\u062d\u0643\u0651\u0645 \u0648\u0627\u0644\u0634\u062d\u0646 (7.3\u066a)\u060c \u0641\u0634\u0644 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a (2.7\u066a) \u0648\u0627\u0644\u0633\u0643\u062a\u0629 \u0627\u0644\u062f\u0645\u0627\u063a\u064a\u0629 (1.6\u066a).<br \/>\n\u0648\u0647\u0646\u0627\u0643 \u0627\u064a\u0636\u0627\u064b \u0628\u0639\u0636 \u0627\u0644\u0645\u0634\u0627\u0643\u0644 \u0627\u0644\u0646\u0627\u062a\u062c\u0629 \u0639\u0646 \u062a\u0635\u0645\u064a\u0645 \u0627\u0644\u0623\u062c\u0647\u0632\u0629 \u0628\u062d\u062f\u0651 \u0630\u0627\u062a\u0647\u060c \u0623\u064a \u062a\u0645\u0632\u0651\u0642 \u0627\u0644\u063a\u0634\u0627\u0621 \u0641\u064a \u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u062a\u062f\u0641\u0642 \u0627\u0644\u0646\u0628\u0636\u064a. \u0648\u0647\u0630\u0627 \u0645\u0627 \u064a\u064f\u0645\u0643\u0646 \u062a\u0642\u0644\u064a\u0644\u0647 \u0645\u0646 \u062e\u0644\u0627\u0644 \u0625\u062f\u062e\u0627\u0644 \u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u062a\u062f\u0641\u0651\u0642 \u0627\u0644\u0645\u0633\u062a\u0645\u0631 \u0645\u0646 \u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u062b\u0627\u0646\u064a \u0648\u0627\u0644\u062b\u0627\u0644\u062b \u0627\u0644\u0623\u0643\u062b\u0631 \u062a\u0637\u0648\u0651\u0631\u0627\u064b. \u0648\u0642\u062f \u062a\u0645\u0651\u062a \u0645\u0639\u0627\u0644\u062c\u0629 \u0627\u0644\u0645\u064f\u0634\u0643\u0644\u0627\u062a \u0627\u0644\u0623\u062e\u0631\u0649 \u0645\u0646 \u062e\u0644\u0627\u0644 \u0627\u0644\u062a\u063a\u064a\u064a\u0631\u0627\u062a \u0627\u0644\u0637\u0641\u064a\u0641\u0629 \u0641\u064a \u0627\u0644\u062a\u0641\u0627\u0635\u064a\u0644\u060c \u0623\u064a \u062a\u0642\u0644\u064a\u0644 \u0627\u0644\u062a\u062c\u0644\u0651\u0637 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0623\u0633\u0637\u062d \u0627\u0644\u0645\u0637\u0644\u064a\u0629 \u0628\u0645\u0627\u062f\u0629 \u0627\u0644\u062a\u064a\u062a\u0627\u0646\u064a\u0648\u0645 \u0623\u0648 \u0623\u0646\u0645\u0627\u0637 \u0627\u0644\u062a\u062f\u0641\u0651\u0642 \u0627\u0644\u0646\u0628\u0636\u064a \u0641\u064a \u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u062b\u0627\u0644\u062b \u0644\u062a\u0642\u0644\u064a\u0644 \u062a\u0643\u0648\u064a\u0646 \u0627\u0644\u062c\u0644\u0637\u0629 \u0645\u0639 \u0625\u0645\u0643\u0627\u0646\u064a\u0629 \u062a\u0642\u0644\u064a\u0644 \u0645\u0633\u062a\u0648\u064a\u0627\u062a \u062a\u0633\u064a\u064a\u0644 \u0627\u0644\u062f\u0645 (INR) \u0627\u0644\u0645\u064f\u0633\u062a\u0647\u062f\u0641\u0629 \u0627\u0648 \u0627\u0644\u0645\u0637\u0644\u0648\u0628\u0629.<br \/>\n\u0647\u0630\u0627 \u0648\u062a\u064f\u0639\u062f\u0651 \u0627\u0644\u0625\u0644\u062a\u0647\u0627\u0628\u0627\u062a \u0645\u0646 \u0627\u0644\u0645\u0634\u0643\u0644\u0627\u062a \u0627\u0644\u0631\u0626\u064a\u0633\u064a\u0629 \u0627\u0644\u0645\u0631\u062a\u0628\u0637\u0629 \u0628\u0627\u0644\u0639\u0644\u0627\u062c \u0628\u062c\u0647\u0627\u0632 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0628\u0637\u064a\u0646\u064a\u0629 (LVAD)\u060c \u0648\u062e\u0627\u0635\u0629 \u0625\u0644\u062a\u0647\u0627\u0628\u0627\u062a \u062e\u0637 \u0627\u0644\u062a\u062d\u0643\u0651\u0645 \u0648\u0627\u0644\u0634\u062d\u0646\u060c \u0648\u0647\u064a \u062a\u062d\u0635\u0644 \u0639\u0646\u062f \u062d\u0648\u0627\u0644\u064a 20\u066a \u0645\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u062e\u0644\u0627\u0644 \u0627\u0644\u0633\u0646\u0629 \u0627\u0644\u0623\u0648\u0644\u0649 \u0628\u0639\u062f \u0627\u0644\u0632\u0631\u0639. \u0648\u0642\u062f \u0623\u062f\u0651\u0649 \u062a\u062d\u0633\u064a\u0646 \u0627\u0644\u0625\u062f\u0627\u0631\u0629 \u0642\u0628\u0644 \u0648\u0628\u0639\u062f \u0627\u0644\u062c\u0631\u0627\u062d\u0629 \u0648\u0627\u0644\u062a\u0639\u062f\u064a\u0644\u0627\u062a \u0641\u064a \u062a\u0635\u0645\u064a\u0645 \u062e\u0637 \u0627\u0644\u0642\u064a\u0627\u062f\u0629 \u0625\u0644\u0649 \u0627\u0646\u062e\u0641\u0627\u0636 \u0643\u0628\u064a\u0631 \u0641\u064a \u0627\u0644\u0625\u0635\u0627\u0628\u0627\u062a. \u0648\u0644\u0643\u0646 \u0644\u0645 \u064a\u0645\u0643\u0646 \u0645\u0646 \u0627\u0644\u0645\u064f\u0645\u0643\u0646 \u062d\u0644\u0651 \u0627\u0644\u0645\u064f\u0634\u0643\u0644\u0629 \u0628\u0627\u0644\u0643\u0627\u0645\u0644 \u062d\u062a\u0649 \u062a\u0627\u0631\u064a\u062e \u0627\u0644\u064a\u0648\u0645. \u0644\u0630\u0644\u0643 \u0643\u0627\u0646 \u0627\u0644\u062a\u0631\u0643\u064a\u0632 \u0639\u0644\u0649 \u062a\u0637\u0648\u064a\u0631 \u062a\u0642\u0646\u064a\u0629 \u0646\u0642\u0644 \u0627\u0644\u0637\u0627\u0642\u0629 \u0639\u0628\u0631 \u0627\u0644\u062c\u0644\u062f (Transcutaneous Energy Transfert :TET) \u0628\u0647\u062f\u0641 \u0627\u0644\u0633\u0645\u0627\u062d \u0628\u0625\u0639\u0627\u062f\u0629 \u0634\u062d\u0646 \u0627\u0644\u0628\u0637\u0627\u0631\u064a\u0627\u062a \u0639\u0628\u0631 \u0627\u0644\u062c\u0644\u062f. \u0648\u0645\u062a\u0637\u0644\u0651\u0628\u0627\u062a \u062a\u0642\u0646\u064a\u0629 \u0646\u0642\u0644 \u0627\u0644\u0637\u0627\u0642\u0629 \u0639\u0628\u0631 \u0627\u0644\u062c\u0644\u062f \u0647\u064a \u0627\u0644\u0643\u0641\u0627\u0621\u0629 \u0627\u0644\u0639\u0627\u0644\u064a\u0629 \u0641\u064a \u0646\u0642\u0644 \u0627\u0644\u0637\u0627\u0642\u0629\u060c \u0648\u0625\u0646\u062a\u0627\u062c \u0627\u0644\u062d\u0631\u0627\u0631\u0629 \u0627\u0644\u0645\u064f\u0639\u062a\u062f\u0644\u0647 \u0648\u0627\u0644\u062a\u0637\u0628\u064a\u0642 \u0627\u0644\u0622\u0645\u0646. \u0648\u0644\u0630\u0644\u0643 \u064a\u064f\u0645\u0643\u0646 \u062a\u0648\u0642\u0651\u0639 \u0625\u0637\u0644\u0627\u0642 \u062c\u0647\u0627\u0632 \u064a\u0639\u0645\u0644 \u0628\u0643\u0627\u0645\u0644 \u0637\u0627\u0642\u062a\u0647 \u0641\u064a \u063a\u0636\u0648\u0646 \u0627\u0644\u0633\u0646\u0648\u0627\u062a \u0627\u0644\u0642\u0627\u062f\u0645\u0629 \u0645\u0639 \u0646\u0645\u0627\u0630\u062c \u0623\u0648\u0644\u064a\u0629 \u064a\u062c\u0631\u064a \u0627\u062e\u062a\u0628\u0627\u0631\u0647\u0627 \u0628\u0627\u0644\u0641\u0639\u0644.<\/p>\n<p>6-\u062a\u0643\u0644\u0641\u0629 \u0647\u0630\u0647 \u0627\u0644\u0623\u062c\u0647\u0632\u0629:<br \/>\n\u0628\u062a\u0643\u0644\u0641\u0629 \u062a\u0628\u0644\u063a \u062d\u0648\u0627\u0644\u064a 85000 \u062f\u0648\u0644\u0627\u0631 \u0627\u0645\u064a\u0631\u0643\u064a \u0644\u0643\u0644 \u062c\u0647\u0627\u0632 \u060c \u064a\u0623\u062a\u064a \u0627\u0644\u0639\u0644\u0627\u062c \u0628\u0625\u0633\u062a\u062e\u062f\u0627\u0645 \u062c\u0647\u0627\u0632 \u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0628\u0637\u064a\u0646 \u0627\u0644\u0623\u064a\u0633\u0631 \u062d\u0627\u0644\u064a\u0627\u064b \u0628\u0633\u0639\u0631 \u0645\u064f\u0631\u062a\u0641\u0639 \u0644\u064a\u0633 \u0628\u0645\u0642\u062f\u0648\u0631 \u0643\u0644 \u0627\u0644\u062f\u0648\u0644 \u062a\u0623\u0645\u064a\u0646\u0647 \u0628\u0633\u0647\u0648\u0644\u0629 \u0644\u0644\u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0630\u064a\u0646 \u064a\u062d\u062a\u0627\u062c\u0648\u0646 \u0644\u0647\u0643\u0630\u0627 \u0627\u062c\u0647\u0632\u0629. \u0648\u0644\u062d\u0633\u0627\u0628 \u0642\u064a\u0645\u0629 \u0627\u0644\u0645\u0627\u0644 \u0644\u0644\u062a\u062f\u062e\u0651\u0644 \u0627\u0644\u0637\u0628\u064a \u060c \u062a\u0645\u0651 \u0645\u0646\u0630 \u0633\u0646\u0648\u0627\u062a \u0625\u062f\u062e\u0627\u0644 \u0645\u0635\u0637\u0644\u062d &#8220;\u0633\u0646\u0648\u0627\u062a \u0627\u0644\u062d\u064a\u0627\u0629 \u0627\u0644\u0645\u0635\u062d\u0651\u062d\u0629 \u0627\u0644\u062c\u0648\u062f\u0629&#8221; ( Quality Adjusted Life Years : QUALY) \u0643\u0645\u0642\u064a\u0627\u0633 \u0639\u0627\u0645 \u0644\u0639\u0628\u0621 \u0627\u0644\u0645\u0631\u0636\u060c \u0628\u0645\u0627 \u0641\u064a \u0630\u0644\u0643 \u0646\u0648\u0639\u064a\u0629 \u0648\u0639\u062f\u062f \u0627\u0644\u0633\u0646\u0648\u0627\u062a \u0627\u0644\u062a\u064a \u0633\u064a\u0628\u0642\u0649 \u062e\u0644\u0627\u0644\u0647\u0627 \u0627\u0644\u0645\u0631\u064a\u0636 \u0639\u0644\u0649 \u0642\u064a\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0628\u0639\u062f \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0630\u064a \u0646\u062f\u0631\u0633\u0647. \u0648\u0644\u062a\u0642\u064a\u064a\u0645 \u0641\u0639\u0627\u0644\u064a\u0629 \u062a\u0643\u0644\u0641\u0629 \u0627\u0644\u062a\u062f\u062e\u0644\u0627\u062a\u060c \u062a\u064f\u0642\u0627\u0631\u0646 \u0627\u064a\u0636\u0627 \u0646\u0633\u0628\u0629 \u0641\u0639\u0627\u0644\u064a\u0629 \u0627\u0644\u062a\u0643\u0644\u0641\u0629 \u0627\u0644\u0645\u062a\u0632\u0627\u064a\u062f\u0629 ( Incremental Cost Effectiveness Ratio : ICER) \u0645\u0639 \u062a\u0643\u0627\u0644\u064a\u0641 \u0627\u0644\u062a\u062f\u062e\u0644 \u0645\u0639 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