Why should we perform hemodynamic ramp test following left ventricular assist device implantation?

Teruhiko Imamura*

Received: September 22, 2018;   Published: October 01, 2018

DOI: 10.26717/BJSTR.2018.09.001813

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Abstract

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

Abstract | Introduction | What is Hemodynamic Ramp Test? | Clinical Impact of Optimized Hemodynamics| Implication of Ramp Test| Conclusion| References|