Open AccessHeart 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
Author(s) -
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,
CrespoLeiro 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,
Itzhaki Ben Zadok Osnat,
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
Publication year - 2021
Publication title -
esc heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.787
H-Index - 25
ISSN - 2055-5822
DOI - 10.1002/ehf2.13587
Subject(s) - medicine , ventricular assist device , heart failure , population , chest pain , emergency department , health care , cardiology , medical emergency , intensive care medicine , nursing , environmental health , economics , economic growth
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.