scholarly journals P5121Invasive exercise haemodynamics predict functional capacity in patients with advanced heart failure implanted with a left ventricular assist device

2018 ◽  
Vol 39 (suppl_1) ◽  
Author(s):  
A Koshy ◽  
T Green ◽  
O G Fernandez ◽  
S Schueler ◽  
D Jakovljevic ◽  
...  
Keyword(s):  
Heart Failure ◽  
Functional Capacity ◽  
Left Ventricular Assist Device ◽  
Ventricular Assist Device ◽  
Left Ventricular ◽  
Advanced Heart Failure ◽  
Assist Device ◽  
Ventricular Assist ◽  
Left Ventricular Assist

scholarly journals HeartMate 3 fully magnetically levitated left ventricular assist device for advanced heart failure: Initial Serbian experience

2018 ◽  
Vol 146 (9-10) ◽  
pp. 584-587
Author(s):  
Emilija Nestorovic ◽  
Dusko Terzic ◽  
Svetozar Putnik ◽  
Arsen Ristic ◽  
Miljko Ristic
Keyword(s):  
Heart Failure ◽  
Functional Capacity ◽  
Left Ventricular Assist Device ◽  
Ventricular Assist Device ◽  
Left Ventricular ◽  
Advanced Heart Failure ◽  
Bridge To Transplantation ◽  
Assist Device ◽  
Ventricular Assist ◽  
Left Ventricular Assist

Introduction. As the waiting time for heart transplantation continues to increase due to shortage in organ donation, supporting patients with advanced heart failure with left ventricular assist device (LVAD) increases as well. The latest generation of LVAD, left ventricular assist system (LVAS) started to expand worldwide due to more promising outcomes. The aim of this article was to present the case of treating advanced heart failure in a patient who underwent implantation of HeartMate 3 LVAS as the bridge to transplantation. Case otline. The patient was a 59-year-old man with advanced heart failure requiring inotropic drug support, with ischemic cardiomyopathy as the underlying cause of heart failure. Therefore, in the absence of an adequate donor, it was decided to incorporate the LVAS as a bridge to transplantation. Functional capacity, cardiac, renal, and liver functions improved in the patient. Conclusion. The use of the HeartMate 3 in an advanced heart failure patient results in improvements in functional capacity, cardiac, renal and liver function. Further studies should be performed in order to identify whether improved outcomes are sustained with a longer follow-up period.

scholarly journals Weight evolution after implantation of left ventricular assist device: Do we need to interfere?

2020 ◽  
Vol 43 (10) ◽  
pp. 671-676
Author(s):  
Katrien Vandersmissen ◽  
Steven Jacobs ◽  
Libera Fresiello ◽  
Kathleen Gerits ◽  
Marieke Roppe ◽  
...  
Keyword(s):  
Heart Failure ◽  
Body Mass Index ◽  
Body Mass ◽  
Functional Capacity ◽  
Left Ventricular Assist Device ◽  
Ventricular Assist Device ◽  
Left Ventricular ◽  
Assist Device ◽  
Ventricular Assist ◽  
Left Ventricular Assist

Objectives: Weight change after left ventricular assist device implantation may influence outcomes and can affect transplant candidacy. We questioned if there is a systematic weight change after left ventricular assist device implantation and examined the evolution in functional capacity. Methods: A retrospective analysis of 84 patients who received a left ventricular assist device in Universitaire Ziekenhuizen Leuven between 2008 and 2016 was performed. Patients were divided into four groups based on their baseline body mass index, and we also examined weight evolution for patients presenting with new-onset heart failure versus those suffering from chronic heart failure. Body mass index was assessed at baseline, 6, 12, 18, and 24 months. To indicate the functional capacity, we analyzed the results of routine 6-Minute Walk Test performed at 6, 12, and 18 months. Results: During the first 6 months after surgery, the underweight patients evolved to normal weight and the body mass index of the obese patients reduced significantly. Afterward, all patients gained weight. The weight loss of the obese was not maintained over time. The weight of patients with normal weight and overweight evolved to overweight and obesity, respectively. No body mass index changes were demonstrated for patients presenting with new-onset heart failure, and the body mass index of patients suffering from chronic HF significantly increased. There was a significant improvement in functional capacity at 6 months, but this level remained unchanged at 12 and 18 months after surgery. Conclusion: Although the initial 6 months evolve beneficial, all patients gain weight in the second year and do not further improve their exercise capacity.

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