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Medical Management of Left Ventricular Assist Device Patients: A Practical Guide for the Nonexpert Clinician
This article provides a concise overview of the medical management of LVAD patients for nonexpert clinicians. Our presentation includes the basics of LVAD physiology, design, and operation, patient selection and assessment, medical management, adverse event identification and management, multidisciplinary care, and management of special circumstances, such as noncardiac surgery, cardiac arrest, and end-of-life care. The clinical examination of LVAD patients is unique in terms of blood pressure and heart rate assessment, LVAD “hum” auscultation, driveline and insertion site inspection, and device parameter recording. Im...
Source: Canadian Journal of Cardiology - February 7, 2020 Category: Cardiology Source Type: research

TCT 2017: Boston Scientific touts lowered hemorrhagic stroke rate, cost for patients in Watchman studies
Boston Scientific (NYSE:BSX) today released combined 5-year outcomes data from both the Prevail and Protect-AF study of its Watchman left atrial appendage closure device, touting it as a safe and effective an alternative to long-term warfarin therapy for patients with non-valvular atrial fibrillation. Five-year data from the Prevail study was published online today in the Journal of the American College of Cardiology. In both trials, the Marlborough, Mass.-based company compared the Watchman device to warfarin treatment for stroke prevention in patients with non-valvular AF with follow-ups out to five years. A combined an...
Source: Mass Device - November 2, 2017 Category: Medical Devices Authors: Fink Densford Tags: Cardiac Implants Cardiovascular Clinical Trials Boston Scientific Source Type: news

Vicky's Story
My older sister, Vicky, never listened to authority. One of my earliest childhood memories was around age four, seeing my Mom whip Vicky with a long tree twig to the point she was bleeding. My mother, a frustrated widow raising five girls on meager Social Security benefits in rural southeast Missouri used the only form of discipline she knew -- corporal punishment. As Vicky's 10-year-old old legs, back, and buttocks became covered in red dotted lines, she never cried or moaned. Instead she looked straight ahead, stone-faced. Mom perceived her look as defiance and gave her more lashings than she should have that day. Event...
Source: Healthy Living - The Huffington Post - July 31, 2015 Category: Consumer Health News Source Type: news