Value of Invasive Hemodynamic Assessments in Patients Supported by Continuous-Flow Left Ventricular Assist Devices

被引：1
|
作者：
Rodenas-Alesina, Eduard [1 ,2 ,3 ]
Brahmbhatt, Darshan H. [1 ,2 ]
Mak, Susanna [2 ,4 ]
Ross, Heather J. [1 ,2 ]
Luk, Adriana [1 ,2 ]
Rao, Vivek [5 ]
Billia, Filio [1 ,2 ,6 ]
机构：
[1] Univ Hlth Network, Ted Rogers Ctr Heart Res, Peter Munk Cardiac Ctr, Toronto, ON, Canada
[2] Univ Toronto, Dept Med, Div Cardiol, Toronto, ON, Canada
[3] Vall dHebron Univ Hosp, Cardiol Dept, Barcelona, Spain
[4] Mt Sinai Hosp, Div Cardiol, Toronto, ON, Canada
[5] Univ Hlth Network, Peter Munk Cardiac Ctr, Div Cardiac Surg, Toronto, ON, Canada
[6] Univ Hlth Network, 585 Univ Ave, Toronto, ON M5G 2N2, Canada
来源：
JACC-HEART FAILURE | 2024年 / 12卷 / 01期
关键词：
KEY WORDS heart failure; invasive hemodynamic assessment; left ventricular assist device; pulmonary vascular resistance; right heart catheterization; PULMONARY VASCULAR-RESISTANCE; HEART-FAILURE PATIENTS; PEAK OXYGEN-UPTAKE; SPEED OPTIMIZATION; AORTIC-INSUFFICIENCY; PUMP SPEED; EXERCISE TOLERANCE; CARDIAC-OUTPUT; DOUBLE-BLIND; RAMP TEST;
D O I：
10.1016/j.jchf.2023.08.019
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Left ventricular assist devices (LVADs) are increasingly used in patients with end-stage heart failure (HF). There is a significant risk of HF admissions and hemocompatibility-related adverse events that can be minimized by optimizing LVAD support. Invasive hemodynamic assessment, which is currently underutilized, allows personalization of care for patients with LVAD, and may decrease the need for recurrent hospitalizations. It also aids in triaging patients with persistent low-flow alarms, evaluating reversal of pulmonary vasculature remodeling, and assessing right ventricular function. In addition, it can assist in determining the precipitant for residual HF symptoms and physical limitation during exercise and is the cornerstone of the assessment of myocardial recovery. This review provides a comprehensive approach to the use of invasive hemodynamic assessments in patients supported with LVADs. (J Am Coll Cardiol HF 2024;12:16-27) (c) 2024 the American College of Cardiology Foundation. Published by Elsevier. All rights reserved.
引用
收藏
页码：16 / 27
页数：12
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