[Cardiology] LVAD trouble shooting.(in progress)

[Category] Topic; 1. Workup; 2. Management; 3. Tip and Teaching point; 4. References;

When you are considering LVAD?

How to troubleshoot LVAD related problem?

Parameter of LVAD:(device)

-POWER(=Flow; 3-10) 

-PI(2-10)

 

Vital sign:(vital)

 -Doppler BP:65-90(less than 90 without palpable pulse)

Clinical condition:(patient factor)

 -JVD, volume status

 -clinical sign

+ additional labs(supportive) 

 -GI bleeding

 -stroke

 -pump thrombosis 

 -infection

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But 3 assessments will narrow down ddx. 

Ds. list

1)uncontrolled HTN

2)hypotension from sepsis, bleeding

3)tamponade

4)AI

5)RV failure

6)Arrhythmia

7)Fluid overload

8)Volume depleted

9)