Cardiac Implantable Electronic Devices in Patients With Left Ventricular Assist Systems.

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 Cardiol

authors

Berg DD,Vaduganathan M,Upadhyay GA,Singh JP,Mehra MR,Stewart GC

doi

10.1016/j.jacc.2018.01.061

subject

Has Abstract

pub_date

2018-04-03 00:00:00

pages

1483-1493

issue

13

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(18)30439-X

journal_volume

71

pub_type

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