HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider Part 1: Introduction and at the non‐hospital settings in the community

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

doi:10.1002/ehf2.13588

HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider Part 1: Introduction and at the non‐hospital settings in the community

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

^*Corresponding author for this work

School of Nursing and Midwifery

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

108 Downloads (Pure)

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 the LVAD‐supported patients on the device and the scarcity of donor hearts has significantly increased the population of LVAD‐supported patients. The expected and non‐expected device‐related and patient–device interaction complications impose a significant burden on the medical system exceeding the capacity of the LVAD implanting centres. The ageing of the LVAD‐supported patients, mainly those supported with the ‘destination therapy’ indication, increases the risk for those patients to experience comorbidities common in the older population. The probability of an LVAD‐supported patient presenting with medical emergency to a local emergency department, internal, or surgical ward of a non‐LVAD implanting centre is increasing. The purpose of this trilogy is to supply the immediate tools needed by the non‐LVAD specialized physician: ambulance clinicians, emergency ward physicians, general cardiologists, internists, anaesthesiologists, and surgeons, 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 to the discharge home from the hospital back to the general practitioner. In this first part of the trilogy on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider, after the introduction on the assist devices technology in general, definitions and structured approach to the assessment of the LVAD‐supported patient in the ambulance and emergency department is presented including cardiopulmonary resuscitation for LVAD‐supported patients.

Original language	English
Journal	ECS Heart Failure
Early online date	14 Sept 2021
DOIs	https://doi.org/10.1002/ehf2.13588
Publication status	Early online date - 14 Sept 2021

Keywords

ESC and HFA Paper
ESC and HFA Papers
LVAD
General description
Emergency medical systems
CPR

Access to Document

10.1002/ehf2.13588Licence: CC BY-NC-ND

HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider Part 1: Introduction and at the non-hospital settings in the community
Copyright 2021 the authors. This is an open access article published under a Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits distribution and reproduction for non-commercial purposes, provided the author and source are cited.
Final published version, 1.52 MBLicence: CC BY-NC-ND

Cite this

Ben Avraham, B., Crespo‐Leiro, M. G., Filippatos, G., Gotsman, I., Seferovic, P., Hasin, T., Potena, L., Milicic, D., Coats, A. J. S., Rosano, G., Ruschitzka, F., Metra, M., Anker, S., Altenberger, J., Adamopoulos, S., Barac, Y. D., Chioncel, O., De Jonge, N., Elliston, J., ... Ben Gal, T. (2021). HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider Part 1: Introduction and at the non‐hospital settings in the community. ECS Heart Failure. Advance online publication. https://doi.org/10.1002/ehf2.13588

@article{96dc09c742524d0986eb048ff9c662ba,

title = "HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider Part 1: Introduction and at the non‐hospital settings in the community",

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 the LVAD‐supported patients on the device and the scarcity of donor hearts has significantly increased the population of LVAD‐supported patients. The expected and non‐expected device‐related and patient–device interaction complications impose a significant burden on the medical system exceeding the capacity of the LVAD implanting centres. The ageing of the LVAD‐supported patients, mainly those supported with the {\textquoteleft}destination therapy{\textquoteright} indication, increases the risk for those patients to experience comorbidities common in the older population. The probability of an LVAD‐supported patient presenting with medical emergency to a local emergency department, internal, or surgical ward of a non‐LVAD implanting centre is increasing. The purpose of this trilogy is to supply the immediate tools needed by the non‐LVAD specialized physician: ambulance clinicians, emergency ward physicians, general cardiologists, internists, anaesthesiologists, and surgeons, 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 to the discharge home from the hospital back to the general practitioner. In this first part of the trilogy on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider, after the introduction on the assist devices technology in general, definitions and structured approach to the assessment of the LVAD‐supported patient in the ambulance and emergency department is presented including cardiopulmonary resuscitation for LVAD‐supported patients.",

keywords = "ESC and HFA Paper, ESC and HFA Papers, LVAD, General description, Emergency medical systems, CPR",

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

year = "2021",

month = sep,

day = "14",

doi = "10.1002/ehf2.13588",

language = "English",

journal = "ECS Heart Failure",

issn = "2055-5822",

publisher = "The Heart Failure Association of the European Society of Cardiology",

}

Ben Avraham, B, Crespo‐Leiro, MG, Filippatos, G, Gotsman, I, Seferovic, P, Hasin, T, Potena, L, Milicic, D, Coats, AJS, Rosano, G, Ruschitzka, F, Metra, M, Anker, S, Altenberger, J, Adamopoulos, S, Barac, YD, Chioncel, O, De Jonge, N, Elliston, J, Frigeiro, M, Goncalvesova, E, Grupper, A, Hamdan, R, Hammer, Y, Hill, L, Itzhaki Ben Zadok, O, Abuhazira, M, Lavee, J, Mullens, W, Nalbantgil, S, Piepoli, MF, Ponikowski, P, Ristic, A, Ruhparwar, A, Shaul, A, Tops, LF, Tsui, S, Winnik, S, Jaarsma, T, Gustafsson, F & Ben Gal, T 2021, 'HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider Part 1: Introduction and at the non‐hospital settings in the community', ECS Heart Failure. https://doi.org/10.1002/ehf2.13588

HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider Part 1: Introduction and at the non‐hospital settings in the community. / Ben Avraham, Binyamin; Crespo‐Leiro, Marisa Generosa; Filippatos, Gerasimos et al.
In: ECS Heart Failure, 14.09.2021.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider Part 1: Introduction and at the non‐hospital settings in the community

AU - Ben Avraham, Binyamin

AU - Crespo‐Leiro, Marisa Generosa

AU - Filippatos, Gerasimos

AU - Gotsman, Israel

AU - Seferovic, Petar

AU - Hasin, Tal

AU - Potena, Luciano

AU - Milicic, Davor

AU - Coats, Andrew J.S.

AU - Rosano, Giuseppe

AU - Ruschitzka, Frank

AU - Metra, Marco

AU - Anker, Stefan

AU - Altenberger, Johann

AU - Adamopoulos, Stamatis

AU - Barac, Yaron D.

AU - Chioncel, Ovidiu

AU - De Jonge, Nicolaas

AU - Elliston, Jeremy

AU - Frigeiro, Maria

AU - Goncalvesova, Eva

AU - Grupper, Avishay

AU - Hamdan, Righab

AU - Hammer, Yoav

AU - Hill, Loreena

AU - Itzhaki Ben Zadok, Osnat

AU - Abuhazira, Miriam

AU - Lavee, Jacob

AU - Mullens, Wilfried

AU - Nalbantgil, Sanemn

AU - Piepoli, Massimo F.

AU - Ponikowski, Piotr

AU - Ristic, Arsen

AU - Ruhparwar, Arjang

AU - Shaul, Aviv

AU - Tops, Laurens F.

AU - Tsui, Steven

AU - Winnik, Stephan

AU - Jaarsma, Tiny

AU - Gustafsson, Finn

AU - Ben Gal, Tuvia

PY - 2021/9/14

Y1 - 2021/9/14

N2 - 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 the LVAD‐supported patients on the device and the scarcity of donor hearts has significantly increased the population of LVAD‐supported patients. The expected and non‐expected device‐related and patient–device interaction complications impose a significant burden on the medical system exceeding the capacity of the LVAD implanting centres. The ageing of the LVAD‐supported patients, mainly those supported with the ‘destination therapy’ indication, increases the risk for those patients to experience comorbidities common in the older population. The probability of an LVAD‐supported patient presenting with medical emergency to a local emergency department, internal, or surgical ward of a non‐LVAD implanting centre is increasing. The purpose of this trilogy is to supply the immediate tools needed by the non‐LVAD specialized physician: ambulance clinicians, emergency ward physicians, general cardiologists, internists, anaesthesiologists, and surgeons, 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 to the discharge home from the hospital back to the general practitioner. In this first part of the trilogy on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider, after the introduction on the assist devices technology in general, definitions and structured approach to the assessment of the LVAD‐supported patient in the ambulance and emergency department is presented including cardiopulmonary resuscitation for LVAD‐supported patients.

AB - 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 the LVAD‐supported patients on the device and the scarcity of donor hearts has significantly increased the population of LVAD‐supported patients. The expected and non‐expected device‐related and patient–device interaction complications impose a significant burden on the medical system exceeding the capacity of the LVAD implanting centres. The ageing of the LVAD‐supported patients, mainly those supported with the ‘destination therapy’ indication, increases the risk for those patients to experience comorbidities common in the older population. The probability of an LVAD‐supported patient presenting with medical emergency to a local emergency department, internal, or surgical ward of a non‐LVAD implanting centre is increasing. The purpose of this trilogy is to supply the immediate tools needed by the non‐LVAD specialized physician: ambulance clinicians, emergency ward physicians, general cardiologists, internists, anaesthesiologists, and surgeons, 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 to the discharge home from the hospital back to the general practitioner. In this first part of the trilogy on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider, after the introduction on the assist devices technology in general, definitions and structured approach to the assessment of the LVAD‐supported patient in the ambulance and emergency department is presented including cardiopulmonary resuscitation for LVAD‐supported patients.

KW - ESC and HFA Paper

KW - ESC and HFA Papers

KW - LVAD

KW - General description

KW - Emergency medical systems

KW - CPR

U2 - 10.1002/ehf2.13588

DO - 10.1002/ehf2.13588

M3 - Article

SN - 2055-5822

JO - ECS Heart Failure

JF - ECS Heart Failure

ER -

HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider Part 1: Introduction and at the non‐hospital settings in the community

Abstract

Keywords

Access to Document

Fingerprint

Cite this