Document Detail


Patient selection for left ventricular assist devices.
MedLine Citation:
PMID:  20172939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Heart transplantation (HTx) improves symptoms and prolongs life in advanced heart failure (HF), but organ supply is limited. In recent years, mechanical circulatory support and specifically implantable left ventricular assist devices (LVADs) have undergone technical improvements, and outcomes have improved dramatically. Left ventricular assist devices are now viable options for patients with severe HF as bridge to transplantation, destination therapy, or as bridge to recovery. Many believe that LVADs may soon provide outcomes similar to, or better than, HTx, launching a new era of end-stage HF management. The key to improving outcomes is patient selection, but the field is changing rapidly and guidelines and consensus are limited. This review summarizes recent reports of predictors of poor outcomes and provides an overview of selection for LVAD therapy.
Authors:
Lars H Lund; Jennifer Matthews; Keith Aaronson
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-02-19
Journal Detail:
Title:  European journal of heart failure     Volume:  12     ISSN:  1879-0844     ISO Abbreviation:  Eur. J. Heart Fail.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-22     Completed Date:  2011-06-02     Revised Date:  2011-06-08    
Medline Journal Info:
Nlm Unique ID:  100887595     Medline TA:  Eur J Heart Fail     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  434-43     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Section for Heart Failure, Karolinska University Hospital, N305 171 76 Stockholm, Sweden. lars.lund@alumni.duke.edu
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MeSH Terms
Descriptor/Qualifier:
Defibrillators, Implantable*
Health Status Indicators
Heart Failure / therapy*
Heart Ventricles / innervation*
Heart-Assist Devices*
Humans
Patient Selection*
Risk Assessment
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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