Il paziente portatore di supporto meccanico al circolo: quello che ogni cardiologo dovrebbe conoscere per la gestione delle problematiche acute

Translated title of the contribution: The patient with mechanical circulatory support: What every cardiologist should know for the management of acute problems

Marco Marini, Claudia Raineri, Giuseppe Di Tano, Manlio Cipriani, Fabrizio Oliva, Renata De Maria

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with advanced heart failure refractory to optimal medical treatment have a high mortality and a poor quality of life with frequent hospital admissions. The lack of alternative treatment options has prompted the development of mechanical circulatory support (MCS) devices, first as bridge to heart transplant and subsequently as destination therapy as a valid alternative to transplant. Last generation MCS devices are mechanically reliable and their management has become increasingly less complex. Nowadays, medium-term survival does not significantly differ between MCS and heart transplant recipients. MCS management programs require a multidisciplinary team to optimize the pathway leading to rehabilitation and improved quality of life and decrease the frequent occurrence of complications. However, in the near future with the growing number of implants, the chances for clinical cardiologists to come across a MCS recipient will increase. The management of general or acute problems will no longer be limited to tertiary implanting centers. A key issue to improve patient outcomes is the provision of a smooth and careful transition from the hospital environment to home care. The aim of this review is to start this process by providing basic notions and general indications through several scenarios of MCS recipients presenting to the emergency room for acute clinical problems.

Translated title of the contributionThe patient with mechanical circulatory support: What every cardiologist should know for the management of acute problems
Original languageItalian
Pages (from-to)659-668
Number of pages10
JournalGiornale Italiano di Cardiologia
Volume14
Issue number10
DOIs
Publication statusPublished - Oct 2013

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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