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Title: | Heart Failure Association of the European Society of Cardiology position paper on the management of left ventricular assist device‐supported patients for the non‐left ventricular assist device specialist healthcare provider: Part 2: at the emergency department | Authors: | Milicic, Davor Ben Avraham, Binyamin Chioncel, Ovidiu Barac, Yaron D. Goncalvesova, Eva Grupper, Avishai Altenberger, Johann Frigeiro, Maria Ristic, Arsen De Jonge, Nicolaas Tsui, Steven Lavee, Jacob Rosano, Giuseppe Crespo-Leiro, Marisa Generosa Coats, Andrew J. S. Seferovic, Petar Ruschitzka, Frank Metra, Marco Anker, Stefan Filippatos, Gerasimos Adamopoulos, Stamatis Abuhazira, Miriam Elliston, Jeremy Gotsman, Israel Hamdan, Righab Hammer, Yoav Hasin, Tal Hill, Lorrena Ben Zadok, Osnat Itzhaki MULLENS, Wilfried Nalbantgil, Sanemn Piepoli, Massimo Francesco Ponikowski, Piotr Potena, Luciano Ruhparwar, Arjang Shaul, Aviv Tops, Laurens F. Winnik, Stephan Jaarsma, Tiny Gustafsson, Finn Ben Gal, Tuvia |
Issue Date: | 2021 | Publisher: | WILEY PERIODICALS, INC | Source: | ESC HEART FAILURE, 2021 | Abstract: | The improvement in left ventricular assist device (LVAD) technology and scarcity of donor hearts have increased dramatically the population of the LVAD-supported patients and the probability of those patients to present to the emergency department with expected and non-expected device-related and patient-device interaction complications. The ageing of the LVAD-supported patients, mainly those supported with the 'destination therapy' indication, increases the risk for those patients to suffer from other co-morbidities common in the older population. In this second part of the trilogy on the management of LVAD-supported patients for the non-LVAD specialist healthcare provider, definitions and structured approach to the LVAD-supported patient presenting to the emergency department with bleeding, neurological event, pump thrombosis, chest pain, syncope, and other events are presented. The very challenging issue of declaring death in an LVAD-supported patient, as the circulation is artificially preserved by the device despite no other signs of life, is also discussed in detail. | Notes: | Ben Gal, T (corresponding author), Tel Aviv Univ, Sackler Fac Med, Rabin Med Ctr, Cardiol Dept,Heart Failure Unit, Tel Aviv, Israel. bengaltu@gmail.com |
Keywords: | LVAD; Emergency department; Bleeding; Neurological events; Death;declaration | Document URI: | http://hdl.handle.net/1942/35754 | ISSN: | 2055-5822 | e-ISSN: | 2055-5822 | DOI: | 10.1002/ehf2.13587 | ISI #: | 000695726200001 | Rights: | © 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium,provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2022 |
Appears in Collections: | Research publications |
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ESC Heart Failure - 2021 - Milicic - Heart Failure Association of the European Society of Cardiology position paper on the.pdf | Published version | 4.36 MB | Adobe PDF | View/Open |
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