TY - JOUR
T1 - Guidance on the management of left ventricular assist device (LVAD) supported patients for the non-LVAD specialist healthcare provider
T2 - executive summary
AU - Ben Gal, Tuvia
AU - Ben Avraham, Binyamin
AU - Milicic, Davor
AU - Crespo-Leiro, Marisa G.
AU - Coats, Andrew J.S.
AU - Rosano, Giuseppe
AU - Seferovic, Petar
AU - Ruschitzka, Frank
AU - Metra, Marco
AU - Anker, Stefan
AU - Filippatos, Gerasimos
AU - Altenberger, Johann
AU - Adamopoulos, Stamatis
AU - Barac, Yaron D.
AU - Chioncel, Ovidiu
AU - de Jonge, Nicolaas
AU - Elliston, Jeremy
AU - Frigerio, Maria
AU - Goncalvesova, Eva
AU - Gotsman, Israel
AU - Grupper, Avishai
AU - Hamdan, Righab
AU - Hammer, Yoav
AU - Hasin, Tal
AU - Hill, Loreena
AU - Itzhaki Ben Zadok, Osnat
AU - Abuhazira, Miriam
AU - Lavee, Jacob
AU - Mullens, Wilfried
AU - Nalbantgil, Sanem
AU - Piepoli, Massimo F.
AU - Ponikowski, Piotr
AU - Potena, Luciano
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
N1 - Publisher Copyright:
© 2021 European Society of Cardiology.
PY - 2021/10
Y1 - 2021/10
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 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.
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 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.
KW - Advanced heart failure
KW - Left ventricular assist device
KW - Mechanical circulatory support
KW - Non-LVAD specialist
UR - http://www.scopus.com/inward/record.url?scp=85113288502&partnerID=8YFLogxK
U2 - 10.1002/ejhf.2327
DO - 10.1002/ejhf.2327
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C2 - 34409711
AN - SCOPUS:85113288502
SN - 1388-9842
VL - 23
SP - 1597
EP - 1609
JO - European Journal of Heart Failure
JF - European Journal of Heart Failure
IS - 10
ER -