How to select a patient for LVAD.

Kathia Cordero-Cabán Brian Ssembajjwe Jay N Patel Dmitry Abramov

Published in: Indian journal of thoracic and cardiovascular surgery (2022)

Left ventricular assist device (LVAD) implantation leads to improvement in symptoms and survival in patients with advanced heart failure. An important factor in improving outcomes post-LVAD implantation is optimal preoperative patient selection and optimization. In this review, we highlight the latest on the evaluation of patients with advanced heart failure for LVAD candidacy, including discussion of patient selection, implantation timing, laboratory and other testing considerations, and the importance of psychosocial evaluation. Such thorough evaluation by multidisciplinary team can serve to improve the outcomes of a complex group of patients with advanced heart failure being evaluated for LVAD.

Keyphrases

left ventricular assist device
heart failure
case report
left ventricular
cardiac resynchronization therapy
atrial fibrillation
acute heart failure
mental health
palliative care
type diabetes
metabolic syndrome
physical activity
adipose tissue
depressive symptoms
weight loss
sleep quality