Right heart failure with left ventricular assist devices: Preoperative, perioperative and postoperative management strategies. A clinical consensus statement of the Heart Failure Association (HFA) of the ESC

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Right heart failure with left ventricular assist devices: Preoperative, perioperative and postoperative management strategies. A clinical consensus statement of the Heart Failure Association (HFA) of the ESC

Adamopoulos, Stamatis (author): Onassis Cardiac Surg Ctr, Greece

Bonios, Michael (author): Onassis Cardiac Surg Ctr, Greece

Ben Gal, Tuvia (author): Tel Aviv Univ, Israel

Gustafsson, Finn (author): Univ Copenhagen, Denmark

Abdelhamid, Magdy (author): Cairo Univ, Egypt

Adamo, Marianna (author): Univ Brescia, Italy

Bayes-Genis, Antonio (author): Hlth Sci Res Inst Germans Trias i Pujol, Spain; Inst Salud Carlos III, Spain; Germans Trias i Pujol Univ Hosp, Spain

Boehm, Michael (author): Saarland Univ, Germany

Chioncel, Ovidiu (author): Emergency Inst Cardiovasc Dis Prof CC Iliescu, Romania; Univ Med & Pharm Carol Davila, Romania

Cohen-Solal, Alain (author): Hosp Lariboisiere, France

Damman, Kevin (author): Univ Groningen, Netherlands

Di Nora, Concetta (author): Univ Trieste, Italy

Hashmani, Shahrukh (author): Cleveland Clin Abu Dhabi, U Arab Emirates

Hill, Loreena (author): Queens Univ, North Ireland

Jaarsma, Tiny (author): Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten

Jankowska, Ewa (author): Wroclaw Med Univ, Poland

Lopatin, Yury (author): Volgograd State Med Univ, Russia

Masetti, Marco (author): IRCCS Azienda Osped Univ Bologna, Italy

Mehra, Mandeep R. (author): Brigham & Womens Hosp, MA USA; Harvard Med Sch, MA USA

Milicic, Davor (author): Univ Zagreb, Croatia; Univ Hosp Ctr Zagreb, Croatia

Moura, Brenda (author): Univ Porto, Portugal

Mullens, Wilfried (author): Ziekenhuis Oost Limburg, Belgium

Nalbantgil, Sanem (author): Ege Univ, Turkiye

Panagiotou, Chrysoula (author): Onassis Cardiac Surg Ctr, Greece

Piepoli, Massimo (author): IRCCS Policlin San Donato, Italy; Univ Milan, Italy

Rakisheva, Amina (author): Sci Res Inst Cardiol & Internal Med, Kazakhstan

Ristic, Arsen (author): Univ Belgrade, Serbia

Rivinius, Rasmus (author): Heidelberg Univ Hosp, Germany; German Ctr Cardiovasc Res DZHK, Germany

Savarese, Gianluigi (author): Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden

Thum, Thomas (author): Hannover Med Sch, Germany; Hannover Med Sch, Germany

Tocchetti, Carlo Gabriele (author): Univ Naples Federico II, Italy

Tops, Laurens F. (author): Leiden Univ, Netherlands

Van Laake, Linda W. (author): Univ Med Ctr Utrecht, Netherlands

Volterrani, Maurizio (author): IRCCS San Raffaele, Italy

Seferovic, Petar (author): Univ Belgrade, Serbia

Coats, Andrew (author): Heart Res Inst, Australia

Metra, Marco (author): Univ Brescia, Italy

Rosano, Giuseppe (author): St Georges Hosp NHS Trust London, England

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2024
2024
English.
In: European Journal of Heart Failure. - : WILEY. - 1388-9842 .- 1879-0844.

Related links:: https://urn.kb.se/re...; show more...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Right heart failure (RHF) following implantation of a left ventricular assist device (LVAD) is a common and potentially serious condition with a wide spectrum of clinical presentations with an unfavourable effect on patient outcomes. Clinical scores that predict the occurrence of right ventricular (RV) failure have included multiple clinical, biochemical, imaging and haemodynamic parameters. However, unless the right ventricle is overtly dysfunctional with end-organ involvement, prediction of RHF post-LVAD implantation is, in most cases, difficult and inaccurate. For these reasons optimization of RV function in every patient is a reasonable practice aiming at preparing the right ventricle for a new and challenging haemodynamic environment after LVAD implantation. To this end, the institution of diuretics, inotropes and even temporary mechanical circulatory support may improve RV function, thereby preparing it for a better adaptation post-LVAD implantation. Furthermore, meticulous management of patients during the perioperative and immediate postoperative period should facilitate identification of RV failure refractory to medication. When RHF occurs late during chronic LVAD support, this is associated with worse long-term outcomes. Careful monitoring of RV function and characterization of the origination deficit should therefore continue throughout the patient's entire follow-up. Despite the useful information provided by the echocardiogram with respect to RV function, right heart catheterization frequently offers additional support for the assessment and optimization of RV function in LVAD-supported patients. In any patient candidate for LVAD therapy, evaluation and treatment of RV function and failure should be assessed in a multidimensional and multidisciplinary manner.

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Anesthesiology a ...

Articles in the publication: European Journal ...

By the university: Linköping University

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Right heart failure with left ventricular assist devices: Preoperative, perioperative and postoperative management strategies. A clinical consensus statement of the Heart Failure Association (HFA) of the ESC

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