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HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider : Part 1: Introduction and at the non-hospital settings in the community

Ben Avraham, Binyamin (author)
Tel Aviv Univ, Israel
Crespo-Leiro, Marisa Generosa (author)
Univ A Coruna UDC La Coruna, Spain
Filippatos, Gerasimos (author)
Natl & Kapodistrian Univ Athens, Greece; Univ Cyprus, Cyprus
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Gotsman, Israel (author)
Hadassah Univ Hosp, Israel
Seferovic, Petar (author)
Belgrade Univ Med Ctr, Serbia
Hasin, Tal (author)
Shaare Zedek Med Ctr, Israel
Potena, Luciano (author)
Bologna Univ Hosp, Italy
Milicic, Davor (author)
Univ Zagreb, Croatia
Coats, Andrew J. S. (author)
Univ Warwick, England
Rosano, Giuseppe (author)
Univ London, England; IRCCS San Raffaele Pisana, Italy
Ruschitzka, Frank (author)
Univ Hosp, Switzerland
Metra, Marco (author)
Univ Brescia, Italy
Anker, Stefan (author)
Charite Univ Med Berlin, Germany
Altenberger, Johann (author)
SKA Rehabilitat zentrum Grossgmain, Austria
Adamopoulos, Stamatis (author)
Onassis Cardiac Surg Ctr, Greece
Barac, Yaron D. (author)
Tel Aviv Univ, Israel
Chioncel, Ovidiu (author)
Univ Med & Pharm Carol Davila, Romania
De Jonge, Nicolaas (author)
Univ Med Ctr Utrecht, Netherlands
Elliston, Jeremy (author)
Tel Aviv Univ, Israel
Frigeiro, Maria (author)
Osped Niguarda Ca Granda, Italy; Osped Niguarda Ca Granda, Italy
Goncalvesova, Eva (author)
Odd Srdcovehozlyhavania Transplantade, Slovakia
Grupper, Avishay (author)
Chaim Sheba Med Ctr, Israel; Tel Aviv Univ, Israel
Hamdan, Righab (author)
Beirut Cardiac Inst, Lebanon
Hammer, Yoav (author)
Tel Aviv Univ, Israel
Hill, Loreena (author)
Queens Univ, North Ireland
Ben Zadok, Osnat Itzhaki (author)
Tel Aviv Univ, Israel
Abuhazira, Miriam (author)
Tel Aviv Univ, Israel
Lavee, Jacob (author)
Tel Aviv Univ, Israel; Sheba Med Ctr, Israel
Mullens, Wilfried (author)
Univ Hasselt, Belgium
Nalbantgil, Sanemn (author)
Ege Univ Hosp, Turkey
Piepoli, Massimo F. (author)
Guglielmo da Saliceto Hosp, Italy
Ponikowski, Piotr (author)
Wroclaw Med Univ, Poland
Ristic, Arsen (author)
Univ Belgrade, Serbia
Ruhparwar, Arjang (author)
Heidelberg Univ, Germany
Shaul, Aviv (author)
Tel Aviv Univ, Israel
Tops, Laurens F. (author)
Leiden Univ Med Ctr, Netherlands
Tsui, Steven (author)
Royal Papworth Hosp, England
Winnik, Stephan (author)
Univ Hosp Zurich, Switzerland; Univ Zurich, Switzerland
Jaarsma, Tiny (author)
Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten
Gustafsson, Finn (author)
Rigshosp, Denmark
Ben Gal, Tuvia (author)
Tel Aviv Univ, Israel
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 (creator_code:org_t)
2021-09-14
2021
English.
In: ESC Heart Failure. - : Wiley. - 2055-5822. ; 8:6, s. 4394-4408
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The accepted use of left ventricular assist device (LVAD) technology as a good alternative for the treatment of patients with advanced heart failure together with the improved survival of the LVAD-supported patients on the device and the scarcity of donor hearts has significantly increased the population of LVAD-supported patients. The expected and non-expected device-related and patient-device interaction complications impose a significant burden on the medical system exceeding the capacity of the LVAD implanting centres. The ageing of the LVAD-supported patients, mainly those supported with the destination therapy indication, increases the risk for those patients to experience comorbidities common in the older population. The probability of an LVAD-supported patient presenting with medical emergency to a local emergency department, internal, or surgical ward of a non-LVAD implanting centre is increasing. The purpose of this trilogy is to supply the immediate tools needed by the non-LVAD specialized physician: ambulance clinicians, emergency ward physicians, general cardiologists, internists, anaesthesiologists, and surgeons, to comply with the medical needs of this fast-growing population of LVAD-supported patients. The different issues discussed will follow the patients pathway from the ambulance to the emergency department and from the emergency department to the internal or surgical wards and eventually to the discharge home from the hospital back to the general practitioner. In this first part of the trilogy on the management of LVAD-supported patients for the non-LVAD specialist healthcare provider, after the introduction on the assist devices technology in general, definitions and structured approach to the assessment of the LVAD-supported patient in the ambulance and emergency department is presented including cardiopulmonary resuscitation for LVAD-supported patients.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Samhällsfarmaci och klinisk farmaci (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Social and Clinical Pharmacy (hsv//eng)

Keyword

LVAD; General description; Emergency medical systems; CPR

Publication and Content Type

ref (subject category)
art (subject category)

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