Veenis Jesse F, Brugts Jasper J
Department of Cardiology, Thorax Center, Erasmus MC, University Medical Center Rotterdam, Dr. Molewaterplein 40, 3015GD, Rotterdam, The Netherlands.
Gen Thorac Cardiovasc Surg. 2020 Mar;68(3):209-218. doi: 10.1007/s11748-020-01286-6. Epub 2020 Jan 24.
Left ventricular assist devices (LVAD) are frequently used in the treatment of end-stage heart failure (HF), and due to the shortage of heart donors and destination programs, it is likely to keep on growing. Still, LVAD therapy is not without complications and morbidity and rehospitalization rates are high. New ways to improve LVAD care both from the side of the patient and the physician are warranted. Remote monitoring could be a tool to tailor treatment in these patients, as no feedback exists at all about patient functioning on top of the static pump parameters. We aim to provide an overview and evaluation of the novel remote monitoring strategies to optimize LVAD management and elaborate on the opportunities of remote hemodynamic monitoring with CardioMEMS, at home in these patients as the next step to improve care.
左心室辅助装置（LVAD）常用于终末期心力衰竭（HF）的治疗，由于心脏供体短缺和终末期治疗项目的存在，其使用量可能会持续增长。尽管如此，LVAD治疗并非没有并发症，发病率和再住院率都很高。因此，有必要从患者和医生两方面探索改善LVAD护理的新方法。远程监测可能是一种为这些患者量身定制治疗方案的工具，因为除了静态泵参数外，目前完全没有关于患者功能状态的反馈信息。我们旨在对新型远程监测策略进行概述和评估，以优化LVAD管理，并详细阐述使用CardioMEMS进行远程血流动力学监测的机会，这是下一步改善这些患者家庭护理的措施。
