Abstract:
:Advanced heart failure represents a small proportion of patients with heart failure that possess high-risk features associated with high hospital readmission rates, significant functional impairment and mortality. Identification of those who have progressed to, or are near a state of advanced heart failure should prompt referral to a service that offers therapies in mechanical circulatory support (MCS) and cardiac transplantation. MCS has grown as a management strategy in the care of these patients, most commonly as a bridge to cardiac transplantation. The predominant utilisation of MCS is implantation of left ventricular assist devices (LVAD), which have evolved significantly in their technology and application over the past 15-20 years. The technology has evolved to such an extent that Destination Therapy is now being utilised as a strategy in management of advanced heart failure in appropriately selected patients. Complication rates have decreased with VAD implantation, but remain a significant consideration in the decision to implant a device, and in the follow up of these patients.
journal_name
Intern Med Jjournal_title
Internal medicine journalauthors
Stokes MB,Bergin P,McGiffin Ddoi
10.1111/imj.12817subject
Has Abstractpub_date
2016-05-01 00:00:00pages
530-40issue
5eissn
1444-0903issn
1445-5994journal_volume
46pub_type
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