1. HFA of the ESC Position paper on the management of LVAD supported patients for the non LVAD specialist healthcare provider Part 1: Introduction and at the non-hospital settings in the community
- Author
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Miriam Abuhazira, Finn Gustafsson, Yaron D. Barac, Yoav Hammer, Marco Metra, Massimo F Piepoli, Stamatis Adamopoulos, Davor Miličić, Gerasimos Filippatos, Avishay Grupper, Ovidiu Chioncel, Israel Gotsman, Marisa G. Crespo-Leiro, Piotr Ponikowski, Andrew J.S. Coats, Arsen D. Ristić, Nicolaas de Jonge, Binyamin Ben Avraham, Aviv Shaul, Stefan D. Anker, Luciano Potena, Giuseppe M.C. Rosano, Righab Hamdan, Osnat Itzhaki Ben Zadok, Loreena Hill, Laurens F. Tops, Sanemn Nalbantgil, Johann Altenberger, Steven Tsui, Arjang Ruhparwar, Maria Frigeiro, Wilfried Mullens, Tiny Jaarsma, Stephan Winnik, Eva Goncalvesova, Tal Hasin, Jeremy Elliston, Frank Ruschitzka, Tuvia Ben Gal, Jacob Lavee, Petar M. Seferovic, Gustafsson, Finn/0000-0003-2144-341X, Ben Avraham, Binyamin, Crespo-Leiro, Marisa Generosa, Filippatos, Gerasimos, Gotsman, Israel, Seferovic, Petar, Hasin, Tal, Potena, Luciano, Milicic, Davor, Coats, Andrew J. S., Rosano, Giuseppe, Ruschitzka, Frank, Metra, Marco, Anker, Stefan, Altenberger, Johann, Adamopoulos, Stamatis, Barac, Yaron D., Chioncel, Ovidiu, De Jonge, Nicolaas, Elliston, Jeremy, Frigeiro, Maria, Goncalvesova, Eva, Grupper, Avishay, Hamdan, Righab, Hammer, Yoav, Hill, Loreena, Ben Zadok, Osnat Itzhaki, Abuhazira, Miriam, Lavee, Jacob, MULLENS, Wilfried, Nalbantgil, Sanemn, Piepoli, Massimo F., Ponikowski, Piotr, Ristic, Arsen, Ruhparwar, Arjang, Shaul, Aviv, Tops, Laurens F., Tsui, Steven, Winnik, Stephan, Jaarsma, Tiny, Gustafsson, Finn, and Ben Gal, Tuvia
- Subjects
Shared Care ,LVAD ,medicine.medical_treatment ,Health Personnel ,Population ,Social and Clinical Pharmacy ,CPR ,Emergency medical systems ,General description ,Hospitals ,Humans ,Tissue Donors ,Heart Transplantation ,Heart-Assist Devices ,Heart-Assist Devices / adverse effects ,Settore MED/11 - Malattie dell'Apparato Cardiovascolare ,ESC and HFA Paper ,Heart-Failure ,ESC and HFA Papers ,Ventricular Assist Devices ,Older population ,Tidal Carbon-Dioxide ,medicine ,Diseases of the circulatory (Cardiovascular) system ,Cardiac-Output ,Cardiopulmonary resuscitation ,Tachyarrhythmias ,education ,education.field_of_study ,business.industry ,Samhällsfarmaci och klinisk farmaci ,Mechanical Circulatory Support ,Emergency department ,Controlled Trial ,medicine.disease ,equipment and supplies ,Implantation ,Ventricular assist device ,RC666-701 ,Cardiopulmonary-Resuscitation ,Position paper ,Medical emergency ,Cardiology and Cardiovascular Medicine ,business ,Healthcare providers ,Destination therapy - Abstract
[Abstract] The accepted use of left ventricular assist device (LVAD) technology as a good alternative for the treatment of patients with advanced heart failure together with the improved survival of the LVAD-supported patients on the device and the scarcity of donor hearts has significantly increased the population of LVAD-supported patients. The expected and non-expected device-related and patient-device interaction complications impose a significant burden on the medical system exceeding the capacity of the LVAD implanting centres. The ageing of the LVAD-supported patients, mainly those supported with the 'destination therapy' indication, increases the risk for those patients to experience comorbidities common in the older population. The probability of an LVAD-supported patient presenting with medical emergency to a local emergency department, internal, or surgical ward of a non-LVAD implanting centre is increasing. The purpose of this trilogy is to supply the immediate tools needed by the non-LVAD specialized physician: ambulance clinicians, emergency ward physicians, general cardiologists, internists, anaesthesiologists, and surgeons, to comply with the medical needs of this fast-growing population of LVAD-supported patients. The different issues discussed will follow the patient's pathway from the ambulance to the emergency department and from the emergency department to the internal or surgical wards and eventually to the discharge home from the hospital back to the general practitioner. In this first part of the trilogy on the management of LVAD-supported patients for the non-LVAD specialist healthcare provider, after the introduction on the assist devices technology in general, definitions and structured approach to the assessment of the LVAD-supported patient in the ambulance and emergency department is presented including cardiopulmonary resuscitation for LVAD-supported patients.
- Published
- 2022