Pre-Explant Stability of Unloading-Promoted Cardiac Improvement Predicts Outcome After Weaning From Ventricular Assist Devices | Zendy

Michael Dandel | Zendy; Yuguo Weng | Zendy; Henryk Siniawski | Zendy; Evgenij Potapov | Zendy; Thomas Krabatsch | Zendy; H. Lehmkuhl | Zendy; Thorsten Drews | Zendy; Christoph Knosalla | Zendy; Roland Hetzer | Zendy

Open Access

Pre-Explant Stability of Unloading-Promoted Cardiac Improvement Predicts Outcome After Weaning From Ventricular Assist Devices

Author(s) -

Michael Dandel,

Yuguo Weng,

Henryk Siniawski,

Evgenij Potapov,

Thomas Krabatsch,

H. Lehmkuhl,

Thorsten Drews,

Christoph Knosalla,

Roland Hetzer

Publication year - 2012

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/circulationaha.111.084640

Subject(s) - medicine , ejection fraction , cardiology , ventricular assist device , heart failure , diastole , receiver operating characteristic , cardiac function curve , cardiomyopathy , surgery , blood pressure

Detection of cardiac recovery that allows long-term cardiac stability after ventricular assist device (VAD) explantation is a major goal. After normalization of ventricular diameters during unloading, the pre-explant left ventricular ejection fraction (LVEF) allows the detection of patients with the potential to remain stable after VAD explantation. However, some patients with LVEF >45 before VAD explantation show early recurrence of heart failure (HF). We aimed to find out if unstable improvement can be recognized before VAD explantation.

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