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Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy

Despite advancing technology, right heart failure after left ventricular assist device implantation remains a significant source of morbidity and mortality. With the UNOS allocation policy change, a larger proportion of patients proceeding to LVAD are destination therapy and consist of an overall si...

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Autores principales: Wang, Teresa S., Cevasco, Marisa, Birati, Edo Y., Mazurek, Jeremy A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9181012/
https://www.ncbi.nlm.nih.gov/pubmed/35683372
http://dx.doi.org/10.3390/jcm11112984
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author Wang, Teresa S.
Cevasco, Marisa
Birati, Edo Y.
Mazurek, Jeremy A.
author_facet Wang, Teresa S.
Cevasco, Marisa
Birati, Edo Y.
Mazurek, Jeremy A.
author_sort Wang, Teresa S.
collection PubMed
description Despite advancing technology, right heart failure after left ventricular assist device implantation remains a significant source of morbidity and mortality. With the UNOS allocation policy change, a larger proportion of patients proceeding to LVAD are destination therapy and consist of an overall sicker population. Thus, a comprehensive understanding of right heart failure is critical for ensuring the ongoing success of durable LVADs. The purpose of this review is to describe the effect of LVAD implantation on right heart function, review the diagnostic and predictive criteria related to right heart failure, and discuss the current evidence for management and treatment of post-LVAD right heart failure.
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spelling pubmed-91810122022-06-10 Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy Wang, Teresa S. Cevasco, Marisa Birati, Edo Y. Mazurek, Jeremy A. J Clin Med Review Despite advancing technology, right heart failure after left ventricular assist device implantation remains a significant source of morbidity and mortality. With the UNOS allocation policy change, a larger proportion of patients proceeding to LVAD are destination therapy and consist of an overall sicker population. Thus, a comprehensive understanding of right heart failure is critical for ensuring the ongoing success of durable LVADs. The purpose of this review is to describe the effect of LVAD implantation on right heart function, review the diagnostic and predictive criteria related to right heart failure, and discuss the current evidence for management and treatment of post-LVAD right heart failure. MDPI 2022-05-25 /pmc/articles/PMC9181012/ /pubmed/35683372 http://dx.doi.org/10.3390/jcm11112984 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Wang, Teresa S.
Cevasco, Marisa
Birati, Edo Y.
Mazurek, Jeremy A.
Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy
title Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy
title_full Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy
title_fullStr Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy
title_full_unstemmed Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy
title_short Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy
title_sort predicting, recognizing, and treating right heart failure in patients undergoing durable lvad therapy
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9181012/
https://www.ncbi.nlm.nih.gov/pubmed/35683372
http://dx.doi.org/10.3390/jcm11112984
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