Ventricular Arrhythmias in Left Ventricular Assist Device Patients-Current Diagnostic and Therapeutic Considerations.
Laura ZałuckaEwa ŚwierżyńskaMichał OrczykowskiKrzysztof DutkowskiJarosław SzymańskiJarosław KuriataRafał DąbrowskiPiotr KołsutŁukasz SzumowskiMaciej SterlińskiPublished in: Sensors (Basel, Switzerland) (2024)
Left ventricular assist devices (LVAD) are used in the treatment of advanced left ventricular heart failure. LVAD can serve as a bridge to orthotopic heart transplantation or as a destination therapy in cases where orthotopic heart transplantation is contraindicated. Ventricular arrhythmias are frequently observed in patients with LVAD. This problem is further compounded as a result of diagnostic difficulties arising from presently available electrocardiographic methods. Due to artifacts from LVAD-generated electromagnetic fields, it can be challenging to assess the origin of arrhythmias in standard ECG tracings. In this article, we will review and discuss common mechanisms, diagnostics methods, and therapeutic strategies for ventricular arrhythmia treatment, as well as numerous problems we face in LVAD implant patients.
Keyphrases
- left ventricular
- heart failure
- left ventricular assist device
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- cardiac resynchronization therapy
- acute myocardial infarction
- hypertrophic cardiomyopathy
- peritoneal dialysis
- congenital heart disease
- aortic stenosis
- stem cells
- high frequency
- magnetic resonance
- acute coronary syndrome
- blood pressure
- heart rate variability