Critical Care Cardiology Perspective on Managing Acute Emergencies in Patients With Durable Ventricular Assist Devices.

Rali, Aniket S; Roberts, Alexis-Danielle; Blumer, Vanessa; Bhardwaj, Anju; Rajagopalan, Navin; Nayak, Aditi; Hall, Shelley; Tunney, Robert et al. · J Am Coll Cardiol · 2026

review · Level V

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Abstract

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.