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Indications for Mechanical Circulatory Support 

Indications for Mechanical Circulatory Support
Chapter:
Indications for Mechanical Circulatory Support
Author(s):

Michael Dickinson

, Stephen Wilkinson

, and Milena Jani

DOI:
10.1093/med/9780190909291.003.0002
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date: 25 January 2021

Optimal patient selection for mechanical circulatory support depends on a while accurate assessment of a given patient’s anticipated trajectory from advanced heart failure and early intervention before end organ damage occurs. Life-limiting non-cardiac diagnoses must be ruled out and goals of therapy should be defined according to the patient’s long-term wishes. This chapter reviews many of the commonly used tools that can aid the heart failure provider in planning for advanced therapies. Options and goals will vary according to what the duration of intended use may be. While guidelines are available, it is often the bedside clinical judgement that determines what device and when to implement. Most often the error is in waiting too long to initiate therapy which runs the risk of poor outcomes.

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