The role of exercise haemodynamics in assessing patients with chronic heart failure and left ventricular assist devices.

The role of exercise haemodynamics in assessing patients with chronic heart failure and left ventricular assist devices. Expert Rev Med Devices. 2019 Oct 04;: Authors: Koshy A, Green T, Toms A, Cassidy S, Schueler S, Jakovljevic D, MacGowan GA Abstract Introduction: Chronic heart failure is characterised by reduced exercise capacity with symptoms often experienced during activity. Invasive exercise haemodynamics are not routinely performed unless patients undergo transplant or LVAD assessment, though now with readily available non-invasive devices, exercise haemodynamics are easily obtained. Our contention is that this is a valuable opportunity to acquire a more accurate measure of cardiac status in heart failure. Exercise haemodynamic measures such as cardiac power output can be carried out cheaply and effectively. Recent studies have highlighted the added value of exercise haemodynamics in prognostication of heart failure, and their role in assessing myocardial recovery in LVADs. Areas covered: In this review we explore the literature available on Medline until 2019 focusing on resting and exercise haemodynamics alongside the methods of assessment (invasive and non-invasive) in heart failure with reduced ejection fraction and patients with implanted LVADs. Expert opinion: Haemodynamics measured both at rest and exercise are expected to play a significant role in the work up of transplant and LVAD patients. Furthermore, there is the...
Source: Expert Review of Medical Devices - Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research