Management of Ventricular Arrhythmias in Patients with Mechanical Ventricular Support Devices

Chris Healy, Juan Viles Gonzalez, Frederic Sacher, James O. Coffey, Andre d’Avila

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

The use of mechanical ventricular support devices in the management of patients with advanced heart failure continues to increase. These devices have been shown to prolong life as a destination therapy and to increase survival when used as a bridge to transplantation. However, they are associated with a high rate of complications, including bleeding, infection, device malfunction, and ventricular arrhythmias (VAs). The mechanical support provided by the device typically allows for VAs to be well tolerated in the acute setting, though there are numerous long-term complications related to VAs such as ventricular remodeling, right ventricular failure in patients with left ventricular assist devices, and possibly increased mortality. Controversy exists as to the appropriate role of implantable cardioverter defibrillators in these patients. This review will focus on the management options available for patients with mechanical ventricular support devices and VAs.

Original languageEnglish (US)
Article number59
JournalCurrent Cardiology Reports
Volume17
Issue number8
DOIs
StatePublished - Aug 15 2015

Keywords

  • Ventricular arrhythmias
  • Ventricular assist devices
  • Ventricular tachycardia ablation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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