Device therapy for heart failure - When and for whom?

Shams, Omar F. and Ventura, Hector O. (2008) Device therapy for heart failure - When and for whom?. American Journal of Cardiovascular Drugs, 8 3: 147-153. doi:10.2165/00129784-200808030-00001


Author Shams, Omar F.
Ventura, Hector O.
Title Device therapy for heart failure - When and for whom?
Journal name American Journal of Cardiovascular Drugs   Check publisher's open access policy
ISSN 1175-3277
1179-187X
Publication date 2008
Sub-type Article (original research)
DOI 10.2165/00129784-200808030-00001
Volume 8
Issue 3
Start page 147
End page 153
Total pages 7
Place of publication Auckland, New Zealand
Publisher Adis International
Language eng
Abstract Surgical approaches to heart failure (HF) management have become a necessary strategy in response to a waiting list that is expanding in the face of a limited supply of organ donors. Multiple studies have supported the safety and efficacy of device-based therapy. Among the device-based therapy options, ventricular assist devices (VADs) represent an alternative to heart transplantation with the capability to function as short-term support, bridge-to-transplantation or recovery and as long-term support. VAD support may be considered in those with refractory cardiogenic shock or those with decompensated chronic HF that is unresponsive to maximized medical therapy. Composite scoring scales may be used to risk-stratify patients using clinical and laboratory values to allow more systematic patient selection. As the pursuit for a perfect device continues, so does the search for the best objective index to guide referral. Technologic advances will enhance device performance and extend VAD use into community practice. This discussion aims to highlight criteria for candidate selection and referral for VAD implantation.
Keyword Ventricular Assist Device
Mechanical Cardiac support
Patient Selection
Circulatory support
Predict Survival
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Mon, 14 Mar 2011, 10:14:40 EST