Implantable Assist Devices

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§ The highest risk of death occurs within 3 months of VAD implantation likely reflecting the pre-operative clinical acuity. § Compared with non-AMI patients, patients with VAD post-AMI had significant lower adjusted late hazard for mortality (pre-existing CV burden, absence of long term effects of heart failure)(?). § Once there is a systemic inflammatory state and multi organ failure, even full mechanical support may not improve survival. manuscript). (not discussed in this § Right heart failure (RHF) is a frequent complication following left ventricular assist device (LVAD) implantation and a major factor of postoperative morbidity and mortality.
§ We are in the need of prospective trials, adequately powered for meaningful clinical endpoints, to establish evidence base for use of these invasive and expensive but live saving devices.
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Page 16 and 17: AMI PATIENTS HAVE THE SAME 1YR-OUTC
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Page 20 and 21: ight heart failure (RHF) is a frequ

Implantable Assist Devices

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