Why the study?
Cardiac arrest in patients on mechanical circulatory support is a new phenomenon resulting from the increased use of this therapy in end-stage heart failure, necessitating guidance on the recognition and treatment of cardiovascular collapse and the role of external chest compressions.
This American Heart Association scientific statement provides expert consensus recommendations for recognizing and treating cardiopulmonary arrest, including the use of external chest compressions, in adults and children with ventricular assist devices or total artificial hearts.
May inform resuscitation protocols in VAD/TAH patients; leaves open prospective validation of safety and efficacy.
Cardiac arrest in patients on mechanical support is a new phenomenon brought about by the increased use of this therapy in patients with end-stage heart failure. This American Heart Association scientific statement highlights the recognition and treatment of cardiovascular collapse or cardiopulmonary arrest in an adult or pediatric patient who has a ventricular assist device or total artificial heart. Specific, expert consensus recommendations are provided for the role of external chest compressions in such patients.
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Peberdy et al. (2017) conducted a review in Cardiovascular collapse or cardiopulmonary arrest in patients on mechanical circulatory support (ventricular assist device or total artificial heart) for end-stage heart failure. Cardiopulmonary resuscitation and external chest compressions was evaluated. Cardiopulmonary resuscitation and external chest compressions in adults and children with a ventricular assist device or total artificial heart are addressed via expert consensus recommendations.
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