Document Detail


Patient selection for left ventricular assist devices.
MedLine Citation:
PMID:  21906247     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Congest Heart Fail. 2011;17:227-234. © 2011 Wiley Periodicals, Inc. Mechanical circulatory support has become an increasingly common method of supporting patients with advanced heart failure. Paramount to the recent progress observed with this therapy has been a greater understanding of patient selection criteria as a primary determinant of early and late patient outcomes. Prior to device implant, patients should undergo a multidisciplinary evaluation of cardiovascular, noncardiovascular, and psychosocial factors that influence postoperative outcomes. The use of multivariable risk scores may also be useful to guide discussions with patients and families regarding the relative risks of different therapeutic alternatives. Despite an evidence base that provides guiding principles in patient selection for mechanically assisted circulation, several aspects of the evaluation require further refinement, including development of tools to objectively assess psychosocial parameters, and definition and validation of measures of right ventricular dysfunction that preclude successful isolated left ventricular support.
Authors:
Prateeti Khazanie; Joseph G Rogers
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Publication Detail:
Type:  Journal Article     Date:  2011-07-21
Journal Detail:
Title:  Congestive heart failure (Greenwich, Conn.)     Volume:  17     ISSN:  1751-7133     ISO Abbreviation:  Congest Heart Fail     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9714174     Medline TA:  Congest Heart Fail     Country:  United States    
Other Details:
Languages:  eng     Pagination:  227-34     Citation Subset:  IM    
Copyright Information:
© 2011 Wiley Periodicals, Inc.
Affiliation:
From the Division of Cardiology, Duke University;Duke Clinical Research Institute, Durham, NC.
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