Haemodynamic management of patients with left ventricular assist devices using echocardiography: the essentials
| Autor: | Stefaan Bouchez, Filip De Somer, Yves Van Belleghem, Roland Stroobandt, Michel De Pauw, Patrick Wouters |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Heart Ventricles Ventricular Dysfunction Right medicine.medical_treatment Hemodynamics Regurgitation (circulation) 030204 cardiovascular system & hematology Ventricular Dysfunction Left 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Ventricular Function Radiology Nuclear Medicine and imaging TRICUSPID VALVE REPAIR Heart Failure business.industry General Medicine equipment and supplies medicine.disease medicine.anatomical_structure Echocardiography Ventricle Treatment modality Ventricular assist device Heart failure Circulatory system Cardiology Heart-Assist Devices Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Heart Journal - Cardiovascular Imaging. 20:373-382 |
| ISSN: | 2047-2412 2047-2404 |
| DOI: | 10.1093/ehjci/jez003 |
| Popis: | Mechanical circulatory support with continuous-flow left ventricular assist devices (LVADs) has emerged as a viable treatment modality for patients with advanced heart failure. LVAD support results in unique haemodynamic and echocardiographic alterations that must be understood to provide optimal care for these patients. In this review, we propose essential echocardiographic and haemodynamic elements for the assessment of optimal LVAD function based on the literature and the use of simulation software. A key element of LVAD physiology remains the interaction between an unloaded left ventricle and a loaded right ventricle. The echocardiographic assessment and treatment of the pathophysiology of the right-sided part of the heart remains critical to maintaining optimal LVAD support. |
| Databáze: | OpenAIRE |
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