TY - JOUR
T1 - Predictors and management of right heart failure after left ventricular assist device implantation
AU - Fida, Nadia
AU - Loebe, Matthias
AU - Estep, Jerry D.
AU - Guha, Ashrith
N1 - Copyright:
This record is sourced from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Newer generation continuous-flow left ventricular assist devices (LVADs) have overall improved outcomes with lower incidences of right ventricular failure (RVF) than their pulsatile predecessors, yet RVF still occurs in 9% to 40% of LVAD recipients. Post-implant, RVF is associated with poor outcomes, end-organ dysfunction, high mortality, and reduced survival to transplant. Therefore, preoperative risk stratification, appropriate patient selection, and optimal timing of implant are of paramount importance. In this article, we review the definition, incidence, pathophysiology, and current risk prediction models for RVF and touch on the contemporary management of RVF perioperatively and post-LVAD implant.
AB - Newer generation continuous-flow left ventricular assist devices (LVADs) have overall improved outcomes with lower incidences of right ventricular failure (RVF) than their pulsatile predecessors, yet RVF still occurs in 9% to 40% of LVAD recipients. Post-implant, RVF is associated with poor outcomes, end-organ dysfunction, high mortality, and reduced survival to transplant. Therefore, preoperative risk stratification, appropriate patient selection, and optimal timing of implant are of paramount importance. In this article, we review the definition, incidence, pathophysiology, and current risk prediction models for RVF and touch on the contemporary management of RVF perioperatively and post-LVAD implant.
KW - cardiac risk factors
KW - heart assist device
KW - heart failure
KW - outcomes
KW - right heart dysfunction
UR - http://www.scopus.com/inward/record.url?scp=84930918269&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84930918269&partnerID=8YFLogxK
U2 - 10.14797/mdcj-11-1-18
DO - 10.14797/mdcj-11-1-18
M3 - Review article
C2 - 25793025
AN - SCOPUS:84930918269
SN - 1947-6094
VL - 11
SP - 18
EP - 23
JO - Methodist DeBakey cardiovascular journal
JF - Methodist DeBakey cardiovascular journal
IS - 1
ER -