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Myocardial recovery with mechanical circulatory support
Author(s) -
Chaggar Parminder S.,
Williams Simon G.,
Yonan Nizar,
Fildes James,
Venkateswaran Rajamiyer,
Shaw Steven M.
Publication year - 2016
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1002/ejhf.575
Subject(s) - medicine , circulatory system , heart failure , cardiology , intensive care medicine
Mechanical circulatory support ( MCS ) is instituted in patients with advanced heart failure, some of who may experience sufficient recovery in cardiac function to allow withdrawal of mechanical support. The incidence of left ventricular recovery with MCS is unclear as reported series in the literature demonstrate widely divergent rates. A number of clinical parameters (including echocardiographic, haemodynamic and physiological) are used to indicate likely left ventricular recovery during pump speed reduction but no internationally agreed definition exists. Withdrawal of MCS is not without risk and so robust clinical and biochemical definitions are important to minimize patient morbidity and mortality. Here we review our current understanding of left ventricular recovery with MCS .