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 language | English (US) |
|---|---|
| Article number | 59 |
| Journal | Current Cardiology Reports |
| Volume | 17 |
| Issue number | 8 |
| DOIs | |
| State | Published - Aug 15 2015 |
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Keywords
- Ventricular arrhythmias
- Ventricular assist devices
- Ventricular tachycardia ablation
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Management of Ventricular Arrhythmias in Patients with Mechanical Ventricular Support Devices. / Healy, Chris; Viles Gonzalez, Juan; Sacher, Frederic; Coffey, James O.; d’Avila, Andre.
In: Current Cardiology Reports, Vol. 17, No. 8, 59, 15.08.2015.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Management of Ventricular Arrhythmias in Patients with Mechanical Ventricular Support Devices
AU - Healy, Chris
AU - Viles Gonzalez, Juan
AU - Sacher, Frederic
AU - Coffey, James O.
AU - d’Avila, Andre
PY - 2015/8/15
Y1 - 2015/8/15
N2 - 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.
AB - 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.
KW - Ventricular arrhythmias
KW - Ventricular assist devices
KW - Ventricular tachycardia ablation
UR - http://www.scopus.com/inward/record.url?scp=84931262853&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84931262853&partnerID=8YFLogxK
U2 - 10.1007/s11886-015-0617-5
DO - 10.1007/s11886-015-0617-5
M3 - Article
C2 - 26072439
AN - SCOPUS:84931262853
VL - 17
JO - Current Cardiology Reports
JF - Current Cardiology Reports
SN - 1523-3782
IS - 8
M1 - 59
ER -