Open AccessHFA 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
Author(s) -
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,
CrespoLeiro 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
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/ehf2.13590
Subject(s) - medicine , ventricular assist device , heart failure , intensive care medicine , trilogy , psychological intervention , health care , population , medical emergency , cardiology , nursing , economics , economic growth , art , literature , environmental health
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.