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

Gustafsson, F.; Avraham, B. ben; Chioncel, O.; Hasin, T.; Grupper, A.; Shaul, A.; ... ; Gal, T. ben (2021)

Article / Letter to editor

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.

• End of life
• Internal Medicine
• LVAD
• Surgical departments

• All authors: Gustafsson, F.; Avraham, B. ben; Chioncel, O.; Hasin, T.; Grupper, A.; Shaul, A.; Nalbantgil, S.; Hammer, Y.; Mullens, W.; Tops, L.F.; Elliston, J.; Tsui, S.V.; 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.; Jonge, N. de; Frigerio, M.; Goncalvesova, E.; Gotsman, I.; Zadok, O.I. ben; Ponikowski, P.; Potena, L.; Ristic, A.; Jaarsma, T.; Gal, T. ben
• Date: 2021-09-28
• Journal: ESC Heart Failure
• Volume: 8
• Issue: 6
• Pages: 4425 - 4443
• DOI: doi:10.1002/ehf2.13590
• Link: https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ehf2.13590