Treatment of Endstage Heart Disease With Mechanical Circulatory Assistance

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Circulatory assistance for the failing heart.

Although coronary care units have been successful in reducing the in-hospital mortality after acute myocardial infarction, this is largely a result ofpreventing and treating dysrhythmias. Thefailing myocardium remains a therapeutic challenge and current medical therapy disappointing. Methods ofproviding the heart with mechanical support are described and indications and contraindications to the...

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Heart transplantation with or without prior mechanical circulatory support in adults with congenital heart disease.

OBJECTIVES Recent analyses establish that heart transplantation is increasing among adults with congenital heart disease (ACHD), but the effects of pretransplant mechanical circulatory support (MCS) on perioperative and post-transplant outcomes have not been examined in the ACHD population. METHODS Scientific Registry of Transplant Recipients data on all adult heart transplants from September...

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Mechanical circulatory assistance. Current status and experience with combining circulatory assistance, emergency coronary angiography, and acute myocardial revascularization.

EACH YEAR MORE than 600,000 people in this country die from coronary artery disease. It has been estimated that more than half of this number could be saved and returned to a productive life through the prompt application of either temporary or permanent forms of mechanical circulatory assistance (MCA).' Such a projection presumes that a means to detect life-threatening events can be devised an...

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Neurological events during long-term mechanical circulatory support for heart failure: the Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure (REMATCH) experience.

BACKGROUND Progression of heart failure can lead to cardiac transplantation, but when patients are ineligible, long-term mechanical circulatory support may improve survival. The REMATCH trial showed that left ventricular assist devices (LVADs) prolonged survival in patients with end-stage disease, but with a significant number of adverse events. We report on the neurological outcomes in the REM...

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CLINICIAN UPDATE Mechanical Circulatory Assistance State of Art

Case presentation 2: Patient is a 47-year-old man with a 12-year history of chronic heart failure due to idiopathic dilated cardiomyopathy. He now presents with New York Heart Association class IV symptoms that are refractory to medical therapy. At what point should we consider this patient for mechanical circulatory support? Mechanical circulatory support (MCS) is an important adjunct to the m...

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ژورنال

عنوان ژورنال: Japanese Circulation Journal

سال: 1997

ISSN: 0047-1828,1347-4839

DOI: 10.1253/jcj.61.887