Hypertension: an unstudied potential risk factor for adverse outcomes during continuous flow ventricular assist device support
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| 024 | 7 | 0 | |a 10.1007/s10741-014-9458-3 |2 doi |
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| 245 | 0 | 0 | |a Hypertension: an unstudied potential risk factor for adverse outcomes during continuous flow ventricular assist device support |h [Elektronische Daten] |c [Lauren Wasson, Melana Yuzefpolskaya, Michiyori Wakabayashi, Hiroo Takayama, Yoshifumi Naka, Nir Uriel, Ulrich Jorde, Ryan Demmer, Paolo Colombo] |
| 520 | 3 | |a In end-stage heart failure, left ventricular assist devices (LVADs) represent an exciting new frontier in which post-device implantation survival approaches that of heart transplant. However, expansion of this technology is still limited by complications that impact morbidity and mortality. Thus, it is essential to identify and optimize modifiable predictors of poor outcomes. One such predictor may be hypertension (HTN). Not only may chronic HTN as a traditional cardiovascular risk factor be present during long-term LVAD support, but HTN may also contribute to device malfunction or device-associated complications. Although current guidelines identify blood pressure (BP) control as important to outpatient continuous flow (CF) LVAD management, there is no evidence base to support these guidelines. Indeed, our comprehensive literature search did not identify any studies that evaluated post-device implantation HTN as a potential predictor of adverse CF-LVAD outcomes. HTN among CF-LVAD patients is likely a relatively unstudied factor because of difficulties using standard noninvasive techniques to measure BP in the setting of reduced pulsatile flow. Fortunately, recent research has elucidated the meaning of Doppler BP measurements and validated a slow-cuff deflation system for BP measurements in the setting of CF-LVAD support. Therefore, CF-LVAD researchers and clinicians may (1) consider potential mechanisms relating HTN to poor outcomes, (2) realize that HTN management is a stated goal despite scarce evidence, and (3) utilize the new reliable and valid methods for outpatient BP measurement that make research and management possible. It is critical and now feasible that research on HTN in the CF-LVAD patient population move forward. | |
| 540 | |a Springer Science+Business Media New York, 2014 | ||
| 690 | 7 | |a Hypertension |2 nationallicence | |
| 690 | 7 | |a Blood pressure |2 nationallicence | |
| 690 | 7 | |a Left ventricular assist devices |2 nationallicence | |
| 690 | 7 | |a Outcomes |2 nationallicence | |
| 690 | 7 | |a AI : Aortic insufficiency |2 nationallicence | |
| 690 | 7 | |a BP : Blood pressure |2 nationallicence | |
| 690 | 7 | |a CF : Continuous flow |2 nationallicence | |
| 690 | 7 | |a DBP : Diastolic blood pressure |2 nationallicence | |
| 690 | 7 | |a HTN : Hypertension |2 nationallicence | |
| 690 | 7 | |a INTERMACS : Interagency Registry for Mechanically Assisted Circulatory Support |2 nationallicence | |
| 690 | 7 | |a LVAD : Left ventricular assist device |2 nationallicence | |
| 690 | 7 | |a MAP : Mean arterial pressure |2 nationallicence | |
| 690 | 7 | |a PP : Pulse pressure |2 nationallicence | |
| 690 | 7 | |a SBP : Systolic blood pressure |2 nationallicence | |
| 700 | 1 | |a Wasson |D Lauren |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | |
| 700 | 1 | |a Yuzefpolskaya |D Melana |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | |
| 700 | 1 | |a Wakabayashi |D Michiyori |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | |
| 700 | 1 | |a Takayama |D Hiroo |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | |
| 700 | 1 | |a Naka |D Yoshifumi |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | |
| 700 | 1 | |a Uriel |D Nir |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | |
| 700 | 1 | |a Jorde |D Ulrich |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | |
| 700 | 1 | |a Demmer |D Ryan |u Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA |4 aut | |
| 700 | 1 | |a Colombo |D Paolo |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | |
| 773 | 0 | |t Heart Failure Reviews |d Springer US; http://www.springer-ny.com |g 20/3(2015-05-01), 317-322 |x 1382-4147 |q 20:3<317 |1 2015 |2 20 |o 10741 | |
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| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Wasson |D Lauren |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Yuzefpolskaya |D Melana |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Wakabayashi |D Michiyori |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Takayama |D Hiroo |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Naka |D Yoshifumi |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Uriel |D Nir |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Jorde |D Ulrich |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Demmer |D Ryan |u Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Colombo |D Paolo |u NewYork-Presbyterian, Columbia University Medical Center, 622 West 168th Street, PH12-134, 10032-3720, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Heart Failure Reviews |d Springer US; http://www.springer-ny.com |g 20/3(2015-05-01), 317-322 |x 1382-4147 |q 20:3<317 |1 2015 |2 20 |o 10741 | ||