Assessment of right ventricular function in left ventricular assist device candidates

Salim Hayek, Daniel B. Sims, David W. Markham, Javed Butler, Andreas P. Kalogeropoulos

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

As a result of the improved survival of patients with heart failure (HF) and the overall rise in the prevalence of HF,1 the number of patients in advanced (stage D) HF continues to increase, thus exceeding the limited availability of donor organs by a wide margin.2 Initially used primarily as a bridge to heart transplantation, mechanical circulatory support is now increasingly offered as a destination therapy to patients with advanced HF in clinical deterioration who are not candidates for transplantation. Improvement in survival to 80% at 1-year postimplantation3 has steadily followed the development of new technologies such as the continuous-flow pump, which now encompasses 99% of left ventricular assist devices (LVADs),3 and improvements in patient and device management. Far from being a panacea, mechanical circulatory support is still fraught with challenges. Among them, post-LVAD right ventricular failure (RVF) is a major cause of morbidity and mortality.

Original languageEnglish (US)
Pages (from-to)379-389
Number of pages11
JournalCirculation: Cardiovascular Imaging
Volume7
Issue number2
DOIs
StatePublished - Mar 2014

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Keywords

  • Decision Support Techniques
  • Echocardiography
  • Heart Failure
  • Heart-Assist Devices
  • Right Ventricle
  • Ventricular-Assist Device

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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