학술논문
HFA of the ESC position paper on the management of LVAD-supported patients for the non-LVAD specialist healthcare provider: Part 3: at the hospital and discharge
Document Type
Author
Gustafsson, Finn; Ben Avraham, Binyamin; Chioncel, Ovidiu; Hasin, Tal; Grupper, Avishai; Shaul, Aviv; Nalbantgil, Sanemn; Hammer, Yoav; Mullens, Wilfried; Tops, Laurens F.; Elliston, Jeremy; Tsui, Steven; Milicic, Davor; Altenberger, Johann; Abuhazira, Miriam; Winnik, Stephan; Lavee, Jacob; Piepoli, Massimo Francesco; Hill, Lorrena; Hamdan, Righab; Ruhparwar, Arjang; Anker, Stefan; Crespo-Leiro, Marisa Generosa; Coats, Andrew J. S.; Filippatos, Gerasimos; Metra, Marco; Rosano, Giuseppe; Seferovic, Petar; Ruschitzka, Frank; Adamopoulos, Stamatis; Barac, Yaron; De Jonge, Nicolaas; Frigerio, Maria; Goncalvesova, Eva; Gotsman, Israel; Itzhaki Ben Zadok, Osnat; Ponikowski, Piotr; Potena, Luciano; Ristic, Arsen; Jaarsma, Tiny; Ben Gal, Tuvia
Source
ESC Heart Failure. 8(6):4425-4443
Subject
Language
English
ISSN
2055-5822
Abstract
The growing population of left ventricular assist device (LVAD)-supported patients increases the probability of an LVAD- supported patient hospitalized in the internal or surgical wards with certain expected device related, and patient-device interaction complication as well as with any other comorbidities requiring hospitalization. In this third part of the trilogy on the management of LVAD-supported patients for the non-LVAD specialist healthcare provider, definitions and structured approach to the hospitalized LVAD-supported patient are presented including blood pressure assessment, medical therapy of the LVAD supported patient, and challenges related to anaesthesia and non-cardiac surgical interventions. Finally, important aspects to consider when discharging an LVAD patient home and palliative and end-of-life approaches are described.