Key result
Multidisciplinary protocols optimize diagnostic workup and emergency management for durable LVAD patients.
Why the study?
There are few resources for cardiovascular intensivists that integrate epidemiology, diagnostic workup, and multidisciplinary management of acute emergencies in patients with durable LVADs despite the growing population.
Provides a framework for cardiovascular intensivists on the epidemiology, diagnostic workup, and multidisciplinary management of acute emergencies in patients with durable LVADs.
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Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“Emergencies related to dLVADs are often complex and uniquely tied to device properties and mechanical constraints. Hence, facility in the prompt diagnosis and management of common dLVAD-related emergencies is paramount for clinicians across acute care, cardiovascular care, and critical care settings.”
May inform CVICU protocols for durable VAD emergencies; leaves open prospective validation of frameworks.
Durable left ventricular assist devices (dLVAD) remain a lifesaving therapy in patients with stage D heart failure that is refractory to conventional medical therapies. Owing to improvements in technology and patient outcomes, the number of patients supported with dLVADs has increased over the past decade. Despite this growing population, there are few resources for cardiovascular intensivists that integrate epidemiology, diagnostic workup and multidisciplinary medical management of acute emergencies in patients supported with dLVADs.
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Rali et al. (2026) conducted a review in Stage D heart failure with durable left ventricular assist devices (dLVAD). This perspective highlights the need for integrated resources on the epidemiology, diagnostic workup, and multidisciplinary management of acute emergencies in patients supported with durable LVADs.
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