Severe Heart Failure
Last modified: 19 July 2021, 5:40:46 PM AEST
Classification1 / 3
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INTERMACS = Interagency Registry for Mechanical Assisted Circulatory Support
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ECLS = Extra Corporeal Life Support Program
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ECMO = Extra Corporeal Membrane Oxygenation
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LVAD = Left Ventricular Assist Device
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INTERMACS Levels
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1 = Cardiogenic shock = "Crash and Burn"
- device = ECLS, ECMO, percutaneous support devices
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2 = Progressive decline = "sliding on inotropes"
- device = ECLS, ECMO, LVAD
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3 = Stable but inotrope-dependant = "dependant stability"
- device = LVAD
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4 = resting symptoms = "Frequent flyer"
- device = LVAD
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5 = exertion intolerant = "housebound"
- device = LVAD
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6 = exertion-limited = "walking wounded"
- device = discuss LVAD
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7 = placeholder
- device = discuss LVAD
Management2 / 3
- consider MCS
Anaesthetic considerations3 / 3
- Pre-op
- Intra-op
- Post-op