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
Publication date
2021-12
Authors
Gustafsson, Finn
Ben Avraham, Binyamin
Chioncel, Ovidiu
Hasin, Tal
Grupper, Avishai
Shaul, Aviv
Nalbantgil, Sanemn
Hammer, Yoav
Mullens, Wilfried
Tops, Laurens F
Editors
Advisors
Supervisors
Document Type
Article
Metadata
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cc_by_nc_nd
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.
Keywords
Health Personnel, Heart Failure, Heart-Assist Devices, Hospitals, Humans, Patient Discharge, Journal Article
Citation
Gustafsson, F, Ben Avraham, B, Chioncel, O, Hasin, T, Grupper, A, Shaul, A, Nalbantgil, S, Hammer, Y, Mullens, W, Tops, L F, Elliston, J, Tsui, S, Milicic, D, Altenberger, J, Abuhazira, M, Winnik, S, Lavee, J, Piepoli, M F, Hill, L, Hamdan, R, Ruhparwar, A, Anker, S, Crespo-Leiro, M G, Coats, A J S, Filippatos, G, Metra, M, Rosano, G, Seferovic, P, Ruschitzka, F, Adamopoulos, S, Barac, Y, De Jonge, N, Frigerio, M, Goncalvesova, E, Gotsman, I, Itzhaki Ben Zadok, O, Ponikowski, P, Potena, L, Ristic, A, Jaarsma, T & Ben Gal, T 2021, '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', ESC heart failure, vol. 8, no. 6, pp. 4425-4443. https://doi.org/10.1002/ehf2.13590