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. 2021 Oct;23(10):1597-1609.
doi: 10.1002/ejhf.2327. Epub 2021 Aug 22.

Guidance on the management of left ventricular assist device (LVAD) supported patients for the non-LVAD specialist healthcare provider: executive summary

Tuvia Ben Gal  1 , Binyamin Ben Avraham  1 , Davor Milicic  2 , Marisa G Crespo-Leiro  3 , Andrew J S Coats  4 , Giuseppe Rosano  5   6 , Petar Seferovic  7 , Frank Ruschitzka  8 , Marco Metra  9 , Stefan Anker  10 , Gerasimos Filippatos  11   12 , Johann Altenberger  13 , Stamatis Adamopoulos  14 , Yaron D Barac  15 , Ovidiu Chioncel  16   17 , Nicolaas de Jonge  18 , Jeremy Elliston  19 , Maria Frigerio  20 , Eva Goncalvesova  21 , Israel Gotsman  22 , Avishai Grupper  23   24 , Righab Hamdan  25 , Yoav Hammer  1 , Tal Hasin  26 , Loreena Hill  27 , Osnat Itzhaki Ben Zadok  1 , Miriam Abuhazira  15 , Jacob Lavee  24   28 , Wilfried Mullens  29   30 , Sanem Nalbantgil  31 , Massimo F Piepoli  32 , Piotr Ponikowski  33   34 , Luciano Potena  35 , Arsen Ristic  36 , Arjang Ruhparwar  37 , Aviv Shaul  1 , Laurens F Tops  38 , Steven Tsui  39 , Stephan Winnik  40   41 , Tiny Jaarsma  42 , Finn Gustafsson  43
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Free article

Guidance on the management of left ventricular assist device (LVAD) supported patients for the non-LVAD specialist healthcare provider: executive summary

Tuvia Ben Gal et al. Eur J Heart Fail. 2021 Oct.
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Abstract

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 patients on the device and the scarcity of donor hearts has significantly increased the population of LVAD supported patients. Device-related, and patient-device interaction complications impose a significant burden on the medical system exceeding the capacity of LVAD implanting centres. The probability of an LVAD supported patient presenting with medical emergency to a local ambulance team, emergency department medical team and internal or surgical wards in a non-LVAD implanting centre is increasing. The purpose of this paper is to supply the immediate tools needed by the non-LVAD specialized physician - ambulance clinicians, emergency ward physicians, general cardiologists, and internists - to comply with the medical needs of this fast-growing population of LVAD supported patients. The different issues discussed will follow the patient's pathway from the ambulance to the emergency department, and from the emergency department to the internal or surgical wards and eventually back to the general practitioner.

Keywords: Advanced heart failure; Left ventricular assist device; Mechanical circulatory support; Non-LVAD specialist.

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