ESC Heart Failure (Dec 2021)
HFA of the ESC position paper on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider Part 3: at the hospital and discharge
- Finn Gustafsson,
- Binyamin Ben Avraham,
- Ovidiu Chioncel,
- Tal Hasin,
- Avishai Grupper,
- Aviv Shaul,
- Sanemn Nalbantgil,
- Yoav Hammer,
- Wilfried Mullens,
- Laurens F. Tops,
- Jeremy Elliston,
- Steven Tsui,
- Davor Milicic,
- Johann Altenberger,
- Miriam Abuhazira,
- Stephan Winnik,
- Jacob Lavee,
- Massimo Francesco Piepoli,
- Lorrena Hill,
- Righab Hamdan,
- Arjang Ruhparwar,
- Stefan Anker,
- Marisa Generosa Crespo‐Leiro,
- Andrew J.S. Coats,
- Gerasimos Filippatos,
- Marco Metra,
- Giuseppe Rosano,
- Petar Seferovic,
- Frank Ruschitzka,
- Stamatis Adamopoulos,
- Yaron Barac,
- Nicolaas De Jonge,
- Maria Frigerio,
- Eva Goncalvesova,
- Israel Gotsman,
- Osnat Itzhaki Ben Zadok,
- Piotr Ponikowski,
- Luciano Potena,
- Arsen Ristic,
- Tiny Jaarsma,
- Tuvia Ben Gal
Affiliations
- Finn Gustafsson
- Department of Cardiology Rigshospitalet Copenhagen Denmark
- Binyamin Ben Avraham
- Heart Failure Unit, Cardiology Department, Rabin Medical Center, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- Ovidiu Chioncel
- Emergency Institute for Cardiovascular Diseases ‘Prof. C.C., Iliescu’ University of Medicine Carol Davila Bucharest Romania
- Tal Hasin
- Jesselson Integrated Heart Center Shaare Zedek Medical Center Jerusalem Israel
- Avishai Grupper
- Heart Failure Institute, Lev Leviev Heart Center, Chaim Sheba Medical Center, Tel‐Hashomer, Sackler Faculty of Medicine Tel‐Aviv University Tel‐Aviv Israel
- Aviv Shaul
- Heart Failure Unit, Cardiology Department, Rabin Medical Center, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- Sanemn Nalbantgil
- Department of Cardiology Ege University Hospital Izmir Turkey
- Yoav Hammer
- Heart Failure Unit, Cardiology Department, Rabin Medical Center, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- Wilfried Mullens
- Ziekenhuis Oost Limburg, Genk University Hasselt Hasselt Belgium
- Laurens F. Tops
- Department of Cardiology Leiden University Medical Center Leiden The Netherlands
- Jeremy Elliston
- Anesthesiology Department, Rabin Medical Center, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- Steven Tsui
- Transplant Unit Royal Papworth Hospital Cambridge UK
- Davor Milicic
- Department for Cardiovascular Diseases, Hospital Center Zagreb University of Zagreb Zagreb Croatia
- Johann Altenberger
- SKA‐Rehabilitationszentrum Großgmain, Salzburger Straße 520 Großgmain 5084 Austria
- Miriam Abuhazira
- Department of Cardiothoracic Surgery, Rabin Medical Center, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- Stephan Winnik
- Department of Cardiology, University Heart Center, University Hospital Zurich, Center for Molecular Cardiology University of Zurich Zurich Switzerland
- Jacob Lavee
- Heart Transplantation Unit, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- Massimo Francesco Piepoli
- Heart Failure Unit, Cardiology, G. da Saliceto Hospital Piacenza Italy
- Lorrena Hill
- School of Nursing and Midwifery Queen's University Belfast UK
- Righab Hamdan
- Department of Cardiology Beirut Cardiac Institute Beirut Lebanon
- Arjang Ruhparwar
- Department of Cardiac Surgery University of Heidelberg Heidelberg Germany
- Stefan Anker
- Department of Cardiology (CVK), Berlin Institute of Health Center for Regenerative Therapies (BCRT), German Centre for Cardiovascular Research (DZHK) partner site Berlin Charité Universitätsmedizin Berlin Berlin Germany
- Marisa Generosa Crespo‐Leiro
- Complexo Hospitalario Universitario A Coruña (CHUAC), CIBERCV, Instituto de Investigacion Biomedica A Coruña (INIBIC) Universidad de a Coruña (UDC) A Coruña Spain
- Andrew J.S. Coats
- Faculty of Medicine University of Warwick Coventry UK
- Gerasimos Filippatos
- Heart Failure Unit, Attikon University Hospital, National and Kapodistrian University of Athens, Greece. School of Medicine University of Cyprus Nicosia Cyprus
- Marco Metra
- Cardiology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health University of Brescia Brescia Italy
- Giuseppe Rosano
- Centre for Clinical and Basic Research Department of Cardiac & Pulmonary Rehabilitation Sciences, IRCCS San Raffaele Pisana Rome Italy
- Petar Seferovic
- Serbian Academy of Sciences and Arts, Heart Failure Center, Faculty of Medicine Belgrade University Medical Center Belgrade Serbia
- Frank Ruschitzka
- Department of Cardiology, University Hospital University Heart Center Zurich Switzerland
- Stamatis Adamopoulos
- Heart Failure and Heart Transplantation Unit Onassis Cardiac Surgery Center Athens Greece
- Yaron Barac
- Heart Failure Unit, Cardiology Department, Rabin Medical Center, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- Nicolaas De Jonge
- Department of Cardiology University Medical Center Utrecht Utrecht The Netherlands
- Maria Frigerio
- Transplant Center and De Gasperis Cardio Center Niguarda Hospital Milan Italy
- Eva Goncalvesova
- Odd. Srdcovehozlyhavania a Transplantacie Bratislava Slovakia
- Israel Gotsman
- Heart Institute Hadassah University Hospital Jerusalem Israel
- Osnat Itzhaki Ben Zadok
- Heart Failure Unit, Cardiology Department, Rabin Medical Center, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- Piotr Ponikowski
- Centre for Heart Diseases, University Hospital, Wroclaw, Department of Heart Diseases Wroclaw Medical University Wroclaw Poland
- Luciano Potena
- Heart and Lung Transplant Program Bologna University Hospital Bologna Italy
- Arsen Ristic
- Department of Cardiology of the Clinical Center of Serbia Belgrade University School of Medicine Belgrade Serbia
- Tiny Jaarsma
- Department of Nursing, Faculty of Medicine and Health Sciences University of Linköping Linköping Sweden
- Tuvia Ben Gal
- Heart Failure Unit, Cardiology Department, Rabin Medical Center, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- DOI
- https://doi.org/10.1002/ehf2.13590
- Journal volume & issue
-
Vol. 8,
no. 6
pp. 4425 – 4443
Abstract
Abstract The growing population of left ventricular assist device (LVAD)‐supported patients increases the probability of an LVAD‐ supported patient hospitalized in the internal or surgical wards with certain expected device related, and patient‐device interaction complication as well as with any other comorbidities requiring hospitalization. In this third part of the trilogy on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider, definitions and structured approach to the hospitalized LVAD‐supported patient are presented including blood pressure assessment, medical therapy of the LVAD supported patient, and challenges related to anaesthesia and non‐cardiac surgical interventions. Finally, important aspects to consider when discharging an LVAD patient home and palliative and end‐of‐life approaches are described.
Keywords
