Orthostatic Hypotension After Continuous-Flow Left Ventricular Assist Device Implantation in a Patient With Longstanding Diabetes Mellitus.

Authors :: Chew DS
Shaw BH
Isaac DL
Howlett JG
Raj SR
Source :: The Canadian journal of cardiology [Can J Cardiol] 2017 Apr; Vol. 33 (4), pp. 555.e5-555.e7. Date of Electronic Publication: 2016 Oct 28.
Publication Year :: 2017
Abstract: A continuous-flow left ventricular assist device (CF-LVAD) benefits patients with advanced heart failure as a bridge to cardiac transplantation. However, unanticipated complications may occur. We report a patient with end-stage heart failure and longstanding diabetes who experienced functionally debilitating orthostatic hypotension from autonomic insufficiency after CF-LVAD implantation. This case demonstrates a role for comprehensive autonomic function testing in the workup of orthostatic hypotension after LVAD implantation.<br /> (Copyright © 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)

Subjects :: Equipment Failure
Female
Heart Failure complications
Humans
Hypotension, Orthostatic physiopathology
Middle Aged
Blood Pressure physiology
Diabetes Mellitus, Type 2 complications
Heart Failure surgery
Heart-Assist Devices adverse effects
Hypotension, Orthostatic etiology
Recovery of Function
Ventricular Function, Left physiology

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