Exercise Hemodynamics as a Predictor of Myocardial Recovery in LVAD Patients

被引:5
|
作者
Segan, Louise A. [1 ]
Nanayakkara, Shane S. [1 ,2 ,3 ]
Leet, Angeline S. [1 ]
Vizi, Donna [1 ]
Kaye, David M. [1 ,2 ,3 ]
机构
[1] Alfred Hosp, Dept Cardiovasc Med, Melbourne, Vic, Australia
[2] Baker IDI Heart & Diabet Res Inst, Heart Failure Res Grp, 75 Commercial Rd, Melbourne, Vic 3004, Australia
[3] Monash Univ, Fac Med Nursing & Hlth Sci, Melbourne, Vic, Australia
关键词
ventricular assist device; myocardial recovery; explantation; VAD; exercise hemodynamics; right heart catheterization; reverse remodeling; contractile reserve; VENTRICULAR ASSIST DEVICE; CHRONIC HEART-FAILURE; IMPLANTATION; SUPPORT; TRANSPLANTATION; BRIDGE;
D O I
10.1097/MAT.0000000000000490
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Mechanical circulatory support using left ventricular assist devices (LVADs) has been demonstrated to improve survival in patients with advanced heart failure. Left ventricular assist device therapy also promotes reverse ventricular remodeling, which in some cases has led to sufficient myocardial recovery to allow LVAD removal. Identification of suitable patients for LVAD removal however remains challenging. We investigated the hypothesis that invasive assessment of exercise hemodynamics may provide additional information in relation to the assessment of contractile reserve in potential candidates for LVAD explant.
引用
收藏
页码:342 / 345
页数:4
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