Abstract:
:Recent progress and evolution in device engineering, surgical implantation practices, and periprocedural management have advanced the promise of durable support with left ventricular assist systems (LVAS) in patients with stage D heart failure. With greater uptake of LVAS globally, a growing population of LVAS recipients have pre-existing cardiac implantable electronic devices (CIEDs). Strategies for optimal clinical management of CIEDs in patients with durable LVAS are evolving, and clinicians will increasingly face complex decisions regarding implantation, programming, deactivation, and removal of CIEDs. Traditional decision-making pathways for CIEDs may not apply to LVAS-supported patients, as few patients die of arrhythmic causes and many arrhythmias may be well tolerated. Given limited data, treatment decisions must be individualized and made collaboratively among electrophysiologists, advanced heart failure specialists, and patients and their caregivers. Large, prospective, well-conducted studies are needed to better understand the contemporary utility of CIEDs in patients with newer-generation LVAS.
journal_name
J Am Coll Cardioljournal_title
Journal of the American College of Cardiologyauthors
Berg DD,Vaduganathan M,Upadhyay GA,Singh JP,Mehra MR,Stewart GCdoi
10.1016/j.jacc.2018.01.061subject
Has Abstractpub_date
2018-04-03 00:00:00pages
1483-1493issue
13eissn
0735-1097issn
1558-3597pii
S0735-1097(18)30439-Xjournal_volume
71pub_type
杂志文章,评审abstract:OBJECTIVES:The purpose of this study was to determine the time course of the appearance of abnormal Q waves on the electrocardiogram (ECG) over the first 6 h of symptoms of myocardial infarction and to determine what implications, if any, such Q waves have for the efficacy of thrombolytic therapy. BACKGROUND:Severe my...
journal_title:Journal of the American College of Cardiology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of the American College of Cardiology
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更新日期:2015-05-12 00:00:00
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journal_title:Journal of the American College of Cardiology
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journal_title:Journal of the American College of Cardiology
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更新日期:2007-02-13 00:00:00
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pub_type: 杂志文章,实务指引
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更新日期:2020-01-07 00:00:00
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更新日期:2021-01-05 00:00:00