Heart Failure Reviews

, Volume 18, Issue 1, pp 27–34 | Cite as

Patient selection for mechanical circulatory support



Heart failure continues to be associated with high morbidity and mortality. Over the past decade, left ventricular assist devices have been shown to improve the survival and quality of life. However, it is quite clear that very sick patients do not do as well, and it is therefore imperative to select patients at the proper time. In this article, we review both the indications for considering left ventricular assist device therapy as well as discuss the considerations and therapy that should be done pre-operatively to possibly improve post-insertion outcomes.


Congestive heart failure Left ventricular assist device Risk stratification Mechanical circulatory support 


Conflict of interest

Dr. Gilotra has no disclosures. Dr. Russell is a consultant and has received research support from Thoratec.


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Division of Cardiology, Department of MedicineJohns Hopkins HospitalCarnegie 568, BaltimoreUSA

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