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5 January 2017

Giving the Heart a Rest – Time for Recovery or a Permanent Solution

Guy MacGowan

Role for ventricular assist devices in UK patients with advanced heart failure

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Summary

The current role for left ventricular assist devices (LVAD) for patients with advanced heart failure is discussed. The number of UK heart transplants is declining, suggesting that the potential role for LVAD to offer long term support in advanced heart failure should be considered. The design of currently available LVAD (continuous vs pulsatile flow) are discussed alongside contemporary clinical data (REMATCH, REMATCH 2, ADVANCE). Key areas for future research, such as myocardial recovery with LVAD are described.

Download

Summary

The current role for left ventricular assist devices (LVAD) for patients with advanced heart failure is discussed. The number of UK heart transplants is declining, suggesting that the potential role for LVAD to offer long term support in advanced heart failure should be considered. The design of currently available LVAD (continuous vs pulsatile flow) are discussed alongside contemporary clinical data (REMATCH, REMATCH 2, ADVANCE). Key areas for future research, such as myocardial recovery with LVAD are described.

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