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Left Ventricular Assist Devices 101: Shared Care for General Cardiologists and Primary Care.

Authors
  • Singhvi, Aditi1
  • Trachtenberg, Barry2
  • 1 Houston Methodist DeBakey Heart & Vascular Center 6550 Fannin Street, Houston, TX 77030, USA. [email protected]
  • 2 Houston Methodist DeBakey Heart & Vascular Center 6550 Fannin Street, Houston, TX 77030, USA. [email protected]
Type
Published Article
Journal
Journal of Clinical Medicine
Publisher
MDPI AG
Publication Date
Oct 18, 2019
Volume
8
Issue
10
Identifiers
DOI: 10.3390/jcm8101720
PMID: 31635239
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Ambulatory patients with a left ventricular assist device (LVAD) are increasing in number, and so is their life expectancy. Thus, there is an increasing need for care of these patients by non-LVAD specialists, such as providers in the emergency department, urgent care centers, community-based hospitals, outpatient clinics, etc. Non-LVAD specialists will increasingly come across LVAD patients and should be equipped with the knowledge and skills to provide initial assessment and management for these complex patients. These encounters may be for LVAD-related or unrelated issues. However, there are limited data and guidelines to assist non-LVAD specialists in caring for these complex patients. The aim of our review, targeting primary care providers (both inpatient and outpatient), general cardiologists, and other providers is to describe the current status of durable LVAD therapy in adults, patient selection, management strategies, complications and to summarize current outcome data.

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