Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy

Wang, Teresa S.; Cevasco, Marisa; Birati, Edo Y.; Mazurek, Jeremy A.

doi:10.3390/jcm11112984

Cited by 9 publications

(3 citation statements)

References 78 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The risk factors associated with its early onset include clinical and echocardiographic characteristics like prior right ventricular dysfunction, as well as hemodynamic characteristics (CVP greater than 15, pulmonary artery pulsatility index less than 1.85), among others 41 . There are also factors that favor the onset of late RHF, like arrhythmias, valve disease, the progression of right ventricular dysfunction and pulmonary hypertension 40 .…”

Section: : Right Heart Failurementioning

confidence: 99%

Approach to patients with left ventricular assist device and its complications at the emergency department

Osorio-Rico,

Gallego-Muñoz

2024

RCCARE

View full text Add to dashboard Cite

Advanced heart failure is becoming more frequent and, in this population, left ventricular assist devices have emerged in the last thirty years as bridge-to-transplant or destination therapy for those with a contraindication for transplant. These devices are continuous flow, contrary to the normal hemodynamic physiology, which leads to associated complications with the interaction between the device and the patient, a phenomenon known as "hemocompatibility." One of its implications is the absence of a central pulse and the need to measure blood pressure through uncommon methods such as Doppler. Various complications are frequently associated with this and can be grouped under the mnemonic A 2 B 2 C 2 D 2 , in Spanish including those specific and related to the device. Each of these must be recognized for early and prompt diagnosis and treatment, including prompt cardiopulmonary resuscitation, if indicated, to impact the survival of these patients.

show abstract

Section: : Right Heart Failurementioning

confidence: 99%

Approach to patients with left ventricular assist device and its complications at the emergency department

Osorio-Rico,

Gallego-Muñoz

2024

RCCARE

View full text Add to dashboard Cite

show abstract

“…Los factores de riesgo asociados con su aparición temprana incluyen características clínicas y ecocardiográficas, como disfunción previa del ventrículo derecho, así como características hemodinámicas (PVC mayor a 15, índice de pulsatilidad de la arteria pulmonar menor a 1.85), entre otros 41 . Además, existen factores que favorecen la aparición de RHF tardía, como arritmias, valvulopatía, progresión de la disfunción del ventrículo derecho e hipertensión pulmonar 40 .…”

Section: : Falla Cardiaca Derechaunclassified

Atención del paciente con dispositivos de asistencia ventricular izquierda y sus complicaciones en el servicio de urgencias

Osorio-Rico,

Gallego-Muñoz

2024

RCCAR

View full text Add to dashboard Cite

La falla cardiaca avanzada es cada vez más frecuente. En esta población, los dispositivos de asistencia ventricular izquierda han emergido en los últimos treinta años como una terapia puente al trasplante o definitiva en aquellos con contraindicación para este. Estos dispositivos son de flujo continuo, contrario a la fisiología hemodinámica normal, fenómeno que conlleva una serie de complicaciones asociadas a la interacción entre el dispositivo y el paciente, la cual se conoce como "hemocompatibilidad". Una de sus implicaciones es la ausencia de pulso central y la necesidad de toma de presión arterial a través de métodos poco frecuentes, como el Doppler. Las diferentes complicaciones asociadas a este son frecuentes y pueden reunirse bajo la mnemotecnia A 2 B 2 C 2 D 2 , incluyendo aquellas específicas y relacionadas con el dispositivo. Es necesario reconocer cada una de estas para el diagnóstico y tratamiento tempranos y oportunos, incluyendo el inicio precoz de maniobras de reanimación en caso de estar indicado, para impactar la supervivencia de estos pacientes.

show abstract

“…Right ventricular failure remains a common early complication following LVAD implantation, and is associated with prolonged intensive care stays and increased mortality ( 89 ). Right heart failure following LVAD arises from a multitude of factors.…”

Section: Tricuspid Valvementioning

confidence: 99%

Pathophysiology and management of valvular disease in patients with destination left ventricular assist devices

Dimarakis

Callan²,

Khorsandi³

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

Over the last two decades, implantable continuous flow left ventricular assist devices (LVAD) have proven to be invaluable tools for the management of selected advanced heart failure patients, improving patient longevity and quality of life. The presence of concomitant valvular pathology, including that involving the tricuspid, mitral, and aortic valve, has important implications relating to the decision to move forward with LVAD implantation. Furthermore, the presence of concomitant valvular pathology often influences the surgical strategy for LVAD implantation. Concomitant valve repair or replacement is not uncommonly required in such circumstances, which increases surgical complexity and has demonstrated prognostic implications both short and longer term following LVAD implantation. Beyond the index operation, it is also well established that certain valvular pathologies may develop or worsen over time following LVAD support. The presence of pre-existing valvular pathology or that which develops following LVAD implant is of particular importance to the destination therapy LVAD patient population. As these patients are not expected to have the opportunity for heart transplantation in the future, optimization of LVAD support including ameliorating valvular disease is critical for the maximization of patient longevity and quality of life. As collective experience has grown over time, the ability of clinicians to effectively address concomitant valvular pathology in LVAD patients has improved in the pre-implant, implant, and post-implant phase, through both medical management and procedural optimization. Nevertheless, there remains uncertainty over many facets of concomitant valvular pathology in advanced heart failure patients, and the understanding of how to best approach these conditions in the LVAD patient population continues to evolve. Herein, we present a comprehensive review of the current state of the field relating to the pathophysiology and management of valvular disease in destination LVAD patients.

show abstract

Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy

Cited by 9 publications

References 78 publications

Approach to patients with left ventricular assist device and its complications at the emergency department

Approach to patients with left ventricular assist device and its complications at the emergency department

Atención del paciente con dispositivos de asistencia ventricular izquierda y sus complicaciones en el servicio de urgencias

Pathophysiology and management of valvular disease in patients with destination left ventricular assist devices

Contact Info

Product

Resources

About