scholarly journals In Registered Nurses Who Care for Patients with Left Ventricular Assist Devices, Does a Standardized Hands on Education Program as Outlined By the Heart Mate II Competency Checklist Increase Confidence and Reduce Anxiety as Assessed by the Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM) Scale and Reduce Hospital Length of Stay Over 4 Weeks ?

2017 ◽  
Vol 23 (8) ◽  
pp. S98
Author(s):  
Russell O. Hoffman
2010 ◽  
Vol 5 (1) ◽  
pp. 16
Author(s):  
Aman Ali ◽  
Timothy A Sanborn ◽  
◽  

Among patients with acute myocardial infarction (AMI), those in cardiogenic shock have the highest mortality rate. Early revascularisation with primary percutaneous intervention or coronary artery bypass surgery has decreased the mortality rate of patients in cardiogenic shock, but it remains high. The conventional treatment of haemodynamic instability has been the use of the intra-aortic balloon pump (IABP); however, the IABP may not give adequate support to patients with severe left ventricular dysfunction. Recent advances in percutaneous left ventricular assist devices, specifically the TandemHeart and Impella LP 2.5, have shown improved haemodynamic support compared with the IABP. This article provides an overview of the use of percutaneous left ventricular assist devices to treat patients presenting with cardiogenic shock after acute MI.


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