Guidance on the management of left ventricular assist device (LVAD) supported patients for the non‐ LVAD specialist healthcare provider: executive summary

Tuvia Ben Gal, Binyamin Ben Avraham, Davor Milicic, Marisa G. Crespo‐Leiro, Andrew J.S. Coats, Giuseppe Rosano, Petar Seferovic, Frank Ruschitzka, Marco Metra, Stefan Anker, Gerasimos Filippatos, Johann Altenberger, Stamatis Adamopoulos, Yaron Barak, Ovidiu Chioncel, Nicolaas Jonge, Jeremy Elliston, Maria Frigerio, Eva Goncalvesova, Israel GotsmanAvishai Grupper, Righab Hamdan, Yoav Hammer, Tal Hasin, Loreena Hill, Osnat Itzhaki Ben Zadok, Miriam Abuhazira, Jacob Lavee, Wilfried Mullens, Sanemn Nalbantgil, Massimo F. Piepoli, Piotr Ponikowski, Luciano Potena, Arsen Ristic, Arjang Ruhparwar, Aviv Shaul, Laurens F. Tops, Steven Tsui, Stephan Winnik, Tiny Jaarsma, Finn Gustafsson

Research output: Contribution to journalArticlepeer-review

Abstract

The accepted use of left ventricular assist device (LVAD) technology as a good alternative for the treatment of patients with advanced heart failure together with the improved survival of patients on the device and the scarcity of donor hearts has significantly increased the population of LVAD supported patients. Device-related, and patient–device interaction complications impose a significant burden on the medical system exceeding the capacity of LVAD implanting centres. The probability of an LVAD supported patient presenting with medical emergency to a local ambulance team, emergency department medical team and internal or surgical wards in a non-LVAD implanting centre is increasing. The purpose of this paper is to supply the immediate tools needed by the non-LVAD specialized physician — ambulance clinicians, emergency ward physicians, general cardiologists, and internists — to comply with the medical needs of this fast-growing population of LVAD supported patients. The different issues discussed will follow the patient's pathway from the ambulance to the emergency department, and from the emergency department to the internal or surgical wards and eventually back to the general practitioner.
Original languageEnglish
JournalEuropean journal of heart failure
Early online date18 Aug 2021
DOIs
Publication statusEarly online date - 18 Aug 2021

Keywords

  • Cardiology and Cardiovascular Medicine

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