Severe Heart Failure

Last modified: 19 July 2021, 5:40:46 PM AEST
Classification1 / 3
  • INTERMACS = Interagency Registry for Mechanical Assisted Circulatory Support

  • ECLS = Extra Corporeal Life Support Program

  • ECMO = Extra Corporeal Membrane Oxygenation

  • LVAD = Left Ventricular Assist Device

  • INTERMACS Levels

  • 1 = Cardiogenic shock = "Crash and Burn"

    • device = ECLS, ECMO, percutaneous support devices
  • 2 = Progressive decline = "sliding on inotropes"

    • device = ECLS, ECMO, LVAD
  • 3 = Stable but inotrope-dependant = "dependant stability"

    • device = LVAD
  • 4 = resting symptoms = "Frequent flyer"

    • device = LVAD
  • 5 = exertion intolerant = "housebound"

    • device = LVAD
  • 6 = exertion-limited = "walking wounded"

    • device = discuss LVAD
  • 7 = placeholder

    • device = discuss LVAD
Management2 / 3
  • consider MCS

Anaesthetic considerations3 / 3
  • Pre-op
  • Intra-op
  • Post-op