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 |
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| container_end_page | 555.e7 |
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| container_issue | 4 |
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| container_title | Canadian journal of cardiology |
| container_volume | 33 |
| creator | 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) |
| description | 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. |
| doi_str_mv | 10.1016/j.cjca.2016.10.025 |
| format | Article |
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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.</description><identifier>ISSN: 0828-282X</identifier><identifier>EISSN: 1916-7075</identifier><identifier>DOI: 10.1016/j.cjca.2016.10.025</identifier><identifier>PMID: 28024941</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>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</subject><ispartof>Canadian journal of cardiology, 2017-04, Vol.33 (4), p.555.e5-555.e7</ispartof><rights>Canadian Cardiovascular Society</rights><rights>2016 Canadian Cardiovascular Society</rights><rights>Copyright © 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. 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This case demonstrates a role for comprehensive autonomic function testing in the workup of orthostatic hypotension after LVAD implantation.</description><subject>Blood Pressure - physiology</subject><subject>Cardiovascular</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Equipment Failure</subject><subject>Female</subject><subject>Heart Failure - complications</subject><subject>Heart Failure - surgery</subject><subject>Heart-Assist Devices - adverse effects</subject><subject>Humans</subject><subject>Hypotension, Orthostatic - etiology</subject><subject>Hypotension, Orthostatic - physiopathology</subject><subject>Middle Aged</subject><subject>Recovery of Function</subject><subject>Ventricular Function, Left - physiology</subject><issn>0828-282X</issn><issn>1916-7075</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uk1v1DAQtRCILoU_wAH5yCWLx4kTR0JIqy2llRYVic-b5TiT1kvWXmynaP9Cf3UdbeHAgZNHo_eeZ94bQl4CWwKD-s12abZGL3muc2PJuHhEFtBCXTSsEY_JgkkuCy75jxPyLMYtYxU0Tf2UnHDJeNVWsCB3VyHd-Jh0soZeHPY-oYvWO7oaEga69i5ZN_kpFuej_003OCT6DV0K1kyjDnQVo42JnuGtNUgvd_tRu1ksK1hHNf2U6wyn3226oRvvrvNXrrfump5Z3WHCSD_iONo0xefkyaDHiC8e3lPy9fz9l_VFsbn6cLlebQpTAaRCNELwHhrQrRS90XVVSz70TDSsa7uyHHpdDbLDWmooQWY_eNtzwSRUutOCl6fk9VF3H_yvCWNSOxtNHkI7zIsqkKIsay6hzFB-hJrgYww4qH2wOx0OCpiaM1BbNWeg5gzmXs4gk1496E_dDvu_lD-mZ8DbIwDzlrcWg4omm2SwtwFNUr23_9d_9w_djNZZo8efeMC49VNw2T8FKnLF1Of5CuYjgLoEJjgv7wEvc66Z</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Chew, Derek S., MD, FRCP(C)</creator><creator>Shaw, Brett H., MSc</creator><creator>Isaac, Debra L., MD, FRCP(C)</creator><creator>Howlett, Jonathan G., MD, FRCP(C)</creator><creator>Raj, Satish R., MD, MSCI, FRCP(C)</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>Orthostatic Hypotension After Continuous-Flow Left Ventricular Assist Device Implantation in a Patient With Longstanding Diabetes Mellitus</title><author>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)</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-57552d171a985dca64682fd0570b9b33fda4f8be68a131819129d250814aba523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Blood Pressure - physiology</topic><topic>Cardiovascular</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Equipment Failure</topic><topic>Female</topic><topic>Heart Failure - complications</topic><topic>Heart Failure - surgery</topic><topic>Heart-Assist Devices - adverse effects</topic><topic>Humans</topic><topic>Hypotension, Orthostatic - etiology</topic><topic>Hypotension, Orthostatic - physiopathology</topic><topic>Middle Aged</topic><topic>Recovery of Function</topic><topic>Ventricular Function, Left - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chew, Derek S., MD, FRCP(C)</creatorcontrib><creatorcontrib>Shaw, Brett H., MSc</creatorcontrib><creatorcontrib>Isaac, Debra L., MD, FRCP(C)</creatorcontrib><creatorcontrib>Howlett, Jonathan G., MD, FRCP(C)</creatorcontrib><creatorcontrib>Raj, Satish R., MD, MSCI, FRCP(C)</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chew, Derek S., MD, FRCP(C)</au><au>Shaw, Brett H., MSc</au><au>Isaac, Debra L., MD, FRCP(C)</au><au>Howlett, Jonathan G., MD, FRCP(C)</au><au>Raj, Satish R., MD, MSCI, FRCP(C)</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Orthostatic Hypotension After Continuous-Flow Left Ventricular Assist Device Implantation in a Patient With Longstanding Diabetes Mellitus</atitle><jtitle>Canadian journal of cardiology</jtitle><addtitle>Can J Cardiol</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>33</volume><issue>4</issue><spage>555.e5</spage><epage>555.e7</epage><pages>555.e5-555.e7</pages><issn>0828-282X</issn><eissn>1916-7075</eissn><abstract>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.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>28024941</pmid><doi>10.1016/j.cjca.2016.10.025</doi></addata></record> |
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| identifier | ISSN: 0828-282X |
| ispartof | Canadian journal of cardiology, 2017-04, Vol.33 (4), p.555.e5-555.e7 |
| issn | 0828-282X 1916-7075 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | 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 |
| title | Orthostatic Hypotension After Continuous-Flow Left Ventricular Assist Device Implantation in a Patient With Longstanding Diabetes Mellitus |
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