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Management of Hypertension after Ventricular Assist Device Implant

  • Mosi K. Bennett
  • Elisa M. Smith
Chapter

Abstract

Left ventricular assist devices are widely available for end stage heart failure patients as a destination therapy or as a bridge to transplantation. Hypertension is a well-established risk factor for renal disease and stroke in the absence of a left ventricular assist device. There is increasing evidence that hypertension also contributes to various adverse outcomes including stroke, aortic insufficiency, and thromboembolic events in left ventricular device patients. The accurate measurement of blood pressure as well as the recognition and management of hypertension in patients with left ventricular assist devices is essential for optimizing device function, end organ perfusion, and for reducing the likelihood of adverse events. As clinical experience with left ventricular assist devices increases, blood pressure goals as well as methods to measure blood pressure in continuous flow left ventricular device patients have been further defined.

Keywords

Blood pressure Mechanical circulatory support Continuous flow left ventricular assist device Mean arterial pressure Doppler ultrasound Aortic insufficiency Hypertension Stroke Heart failure Device thrombosis 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Minneapolis Heart Institute at Abbott Northwestern HospitalMinneapolisUSA

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