Emergency Department Evaluation and Management of Patients with Left Ventricular Assist Devices - 15/11/22

Doi : 10.1016/j.emc.2022.06.011

Akilesh Honasoge, MD ^a, Kami M. Hu, MD ^b,^c,^⁎
^a Department of Internal Medicine, Division of Cardiology, Rush Medical College, 600 South Paulina Street, Chicago, IL 60612, USA
^b Department of Emergency, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA
^c Department of Internal Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA

^∗Corresponding author. Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201.Department of Emergency MedicineUniversity of Maryland School of Medicine110 South Paca Street, 6th Floor, Suite 200BaltimoreMD21201

Résumé

With the increasing use of left ventricular assist devices (LVADs) as destination therapy in patients with severe left heart failure, emergency physicians are more likely to encounter patients with LVAD in their emergency department (ED). Emergency physicians should have a basic understanding of LVAD mechanics, a specific approach to LVAD patient evaluation, and awareness of the must-not-miss LVAD therapy complications and their management to optimize outcomes in this patient population.

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Keywords : Congestive heart failure, CHF, Left ventricular assist device, LVAD, HeartMate, HeartWare, HVAD, Mechanical circulatory devices