Fig. 7.1 Schematic of the principles of Left ventricular reconstruction (As proposed by Dor in 1985) Despite all this intuitive work on preserving left ventricular geometry, there was little interest…
Fig. 11.1 HeartMate XVE left ventricular assist device (Permission from Thoratec Corporation) The Thoratec VAD (Thoratec Corp) is a pneumatically powered device that is available in paracorporeal (PVAD) and intracorporeal…
1. General issues Medical history: previous problems with anesthesia including allergies and current medications; presence of conditions that might affect surgical risk (chronic lung disease, renal disease, liver disease, arrhythmias,…
Fig. 15.1 Echocardiographic appearances of the heart before (pre-PTE; top) and after (post-PTE; bottom) operation. Note the shift of the intraventricular septum toward the left in systole before the operation…
Fig. 13.1 Association of increasing prevalence of atrial fibrillation with increasing severity of symptoms of heart failure Mechanisms of Pathophysiology There is a developing appreciation for the complex reciprocal pathophysiologic…
Baseline Long term survival Follow up Author Year Ref Subgroups N LVEF Mean gradient AVA NYHA class III–IV 1 year 3 year 5 year 10 year NYHA class III–IV (%)…
Age/gender/race/height/weight Proposed surgery Past medical history Past surgical history Allergies Current medications Vital signs Physical exam Laboratory tests Additional tests Patients with heart failure undergo a wide variety of surgical…
© Springer-Verlag London Ltd. 2016Jai Raman (ed.)Management of Heart Failure10.1007/978-1-4471-4279-9_12 12. The Economics of Ventricular Assist Devices Alexander Iribarne1 , Kimberly N. Hong2 and Mark J. Russo3 (1) Section of Cardiac Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA (2) Department…
I Presence of cardiac disease but without limitations in physical activity. Normal physical activity does not cause fatigue, palpitation, dyspnea or angina II Presence of cardiac disease with mild limitation…
Fig. 2.1 Mechanism of heart failure progression. The steps in the progression of heart failure Various homeostatic mechanisms are activated in CHF, such as the activation of the renin-angiotensin-aldosterone system….
