RT Book, Section
A1 Emani, Sitaramesh
A2 Baliga, R. R.
A2 Abraham, William T.
SR Print(0)
ID 1161018789
T1 Left Ventricular Assist Devices
T2 Color Atlas and Synopsis of Heart Failure
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749381
LK accesscardiology.mhmedical.com/content.aspx?aid=1161018789
RD 2024/09/20
AB A  72-year-old  man  presents  to  a  heart  failure  clinic  for  further  evaluation  of  his  progressive  fatigue  and  dyspnea.  He  has  a  history  of  an  ischemic  cardiomyopathy  with  a  severely  reduced  ejection  fraction  (EF  <20%),  which  was  originally  diagnosed  several  years  ago.  He  was  initially  maintained  on  optimal  medical  therapy  for  his  cardiomyopathy  and  resultant  heart  failure  (HF).  Despite  medical  therapy,  however,  he  has  noted  progressive  exertional  intolerance  as  well  as  several  episodes  of  acutely  decompensated  HF  in  the  past  year  requiring  admission  for  intensification  of  HF  medical  therapies.  After  a  thorough  evaluation,  he  is  felt  to  be  a  good  candidate  for  a  left  ventricular  assist  device  (LVAD).  He  subsequently  undergoes  successful  implantation  of  an  LVAD  as  destination  therapy.