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

Teresa S. Wang; Marisa Cevasco; Edo Y. Birati; Jeremy A. Mazurek

doi:10.3390/jcm11112984

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

Teresa S. Wang, Marisa Cevasco, Edo Y. Birati, Jeremy A. Mazurek

Bar-Ilan University - Azrieli Faculty of Medicine

University of Pennsylvania

Research output: Contribution to journal › Review article › peer-review

13 Scopus citations

Abstract

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.

Original language	English
Article number	2984
Journal	Journal of Clinical Medicine
Volume	11
Issue number	11
DOIs	https://doi.org/10.3390/jcm11112984
State	Published - 25 May 2022

Bibliographical note

Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

left ventricular assist device
mechanical circulatory support
right ventricular failure

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10.3390/jcm11112984

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abstract = "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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AB - 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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Predicting, Recognizing, and Treating Right Heart Failure in Patients Undergoing Durable LVAD Therapy

Abstract

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Keywords

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