A Peek at LVADs Pumping to Recovery

Author:

Arshad Samiullah1ORCID,Cutting Rachel D2ORCID,Stephens Daniel J3,Goldberg Ythan H4,Mahr Claudius5,Vyasabattu Mahender1,Abdelfattah Ahmed H1,Vaidya Gaurang N6

Affiliation:

1. Internal Medicine, University of Kentucky, Lexington, KY, USA

2. Medical Student, University of New England College of Osteopathic Medicine, Biddeford, ME, USA

3. Medical Student, University of Washington School of Medicine, Seattle, WA, USA

4. Cardiology, Montefiore Medical Center, Bronx, NY, USA

5. Advanced Heart Failure and Transplant, University of Washington School of Medicine, Seattle, WA, USA

6. Advanced Heart Failure and Transplant, University of Kentucky, Lexington, KY, USA

Abstract

Left ventricular assist devices (LVADs) have revolutionized the management of patients with advanced heart failure refractory to medical therapy. Current indications of LVADs include Bridge to Transplantation (BTT), Destination Therapy (DT) for long-term use, Bridge to the Decision (BTD) used as a temporary measure, and lastly Bridge to Recovery (BTR). Here, we briefly review the clinical evidence and the molecular mechanisms behind myocardial recovery following LVAD placement. We also share institutional protocols used at 2 major medical centers in the USA.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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