*Corresponding author:Teruhiko Imamura, Department of Medicine, University of Chicago Medical Center, 5841 S. Maryland Avenue Chicago, IL 60637, USA
Received: September 22, 2018; Published: October 01, 2018
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Left ventricular assist device (LVAD) is a strong therapeutic tool to improve survival in patients with advanced heart failure, whereas not a few patients have potentially abnormal hemodynamics despite LVAD supports. Hemodynamic ramp test, which is recently proposed to undergo following LVAD implantation, is a promising procedure to predict patient clinical outcome by assessing hemodynamic profile and to improve patients’ prognosis by optimizing hemodynamics via LVAD speed adjustment. Further prospective randomized control trial is warranted to clearly demonstrate clinical implication of the ramp test.
Keywords: Ramp; Hemodynamics; Unloading; Heart Failure
Abbreviations: HF: Heart Failure; LVAD: Left Ventricular Assist Device; PCWP: Pulmonary Capillary Wedge Pressure; CI: Cardiac Index; CVP: Central Venous Pressure