Orthostatic Hypotension After Continuous-Flow Left Ventricular Assist Device Implantation in a Patient With Longstanding Diabetes Mellitus

Abstract A continuous-flow left ventricular assist device (CF-LVAD) benefits patients with advanced heart failure as a bridge to cardiac transplantation. However, unanticipated complications may occur. We report a patient with end-stage heart failure and longstanding diabetes who experienced functio...

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Veröffentlicht in:	Canadian journal of cardiology 2017-04, Vol.33 (4), p.555.e5-555.e7
Hauptverfasser:	Chew, Derek S., MD, FRCP(C), Shaw, Brett H., MSc, Isaac, Debra L., MD, FRCP(C), Howlett, Jonathan G., MD, FRCP(C), Raj, Satish R., MD, MSCI, FRCP(C)
Format:	Artikel
Sprache:	eng
Schlagworte:	Blood Pressure - physiology Cardiovascular Diabetes Mellitus, Type 2 - complications Equipment Failure Female Heart Failure - complications Heart Failure - surgery Heart-Assist Devices - adverse effects Humans Hypotension, Orthostatic - etiology Hypotension, Orthostatic - physiopathology Middle Aged Recovery of Function Ventricular Function, Left - physiology
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Zusammenfassung:	Abstract A continuous-flow left ventricular assist device (CF-LVAD) benefits patients with advanced heart failure as a bridge to cardiac transplantation. However, unanticipated complications may occur. We report a patient with end-stage heart failure and longstanding diabetes who experienced functionally debilitating orthostatic hypotension from autonomic insufficiency after CF-LVAD implantation. This case demonstrates a role for comprehensive autonomic function testing in the workup of orthostatic hypotension after LVAD implantation.
ISSN:	0828-282X 1916-7075
DOI:	10.1016/j.cjca.2016.10.025