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Continuous flow left ventricular assist devices: shared care goals of monitoring and treating patients.
- Source :
-
Methodist DeBakey cardiovascular journal [Methodist Debakey Cardiovasc J] 2015 Jan-Mar; Vol. 11 (1), pp. 33-44. - Publication Year :
- 2015
-
Abstract
- Continuous-flow left ventricular assist devices (CF-LVADs) have been clinically adopted as a long-term standard of care therapy option for patients with end-stage heart failure. For many patients, shared care between the care providers at the implanting center and care providers in the community in which the patient resides is a clinical necessity. The aims of this review are to (1) provide a rationale for the outpatient follow-up exam and surveillance testing used at our center to monitor patients supported by the HeartMate II(®) CF-LVAD (Thoratec Corporation, Pleasanton, CA) and (2) provide the protocol/algorithms we use for blood pressure, driveline exit site, LVAD alarm history, surveillance blood work, and echocardiography monitoring in this patient population. In addition, we define our partnership outpatient follow-up protocol and the "shared care" specific responsibilities we use with referring health care providers to best manage many of our patients.
- Subjects :
- Female
Heart Failure diagnosis
Heart Failure mortality
Humans
Male
Monitoring, Physiologic methods
Patient Care Team organization & administration
Prognosis
Time Factors
Continuity of Patient Care organization & administration
Heart Failure surgery
Heart-Assist Devices
Patient Care Planning organization & administration
Patient Outcome Assessment
Subjects
Details
- Language :
- English
- ISSN :
- 1947-6108
- Volume :
- 11
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Methodist DeBakey cardiovascular journal
- Publication Type :
- Academic Journal
- Accession number :
- 25793028
- Full Text :
- https://doi.org/10.14797/mdcj-11-1-33