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Related Concept Videos

Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation (NIPPV)
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...

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Updated: Jun 26, 2026

Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
08:49

Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart

Published on: May 11, 2018

Update on ventricular assist device technology.

Mary A Stahl1, Nancy M Richards

  • 1Saint Lukes Hospital, Kansas City, MO 64111, USA. mstahl@saint-lukes.org

AACN Advanced Critical Care
|January 29, 2009
PubMed
Summary
This summary is machine-generated.

Ventricular assist devices (VADs) offer crucial heart support. This review covers VAD types, indications like Bridge to Recovery and Destination Therapy, and patient care aspects for failing hearts.

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Implantation of the Syncardia Total Artificial Heart
16:11

Implantation of the Syncardia Total Artificial Heart

Published on: July 18, 2014

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Last Updated: Jun 26, 2026

Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
08:49

Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart

Published on: May 11, 2018

Implantation of the Syncardia Total Artificial Heart
16:11

Implantation of the Syncardia Total Artificial Heart

Published on: July 18, 2014

Area of Science:

  • Cardiology
  • Medical Devices
  • Cardiac Surgery

Background:

  • Heart failure is a significant clinical challenge requiring advanced therapeutic options.
  • Ventricular assist devices (VADs) have become integral to managing advanced heart failure.
  • A range of VAD technologies are available, each with specific applications.

Purpose of the Study:

  • To provide an updated overview of ventricular assist devices available in the United States.
  • To discuss current and emerging indications for VAD implantation.
  • To review clinical management, complications, and ethical considerations associated with VAD therapy.

Main Methods:

  • Review of current literature and device technologies.
  • Analysis of established and novel indications for VAD support.
  • Synthesis of clinical management strategies and patient care aspects.

Main Results:

  • The article details various VAD types, including pulsatile, centrifugal, and axial-flow models.
  • Key indications such as Bridge to Recovery, Bridge to Transplant, Destination Therapy, Bridge to Decision, and Bridge to Bridge are explored.
  • Support for high-risk percutaneous coronary intervention using rapidly deployable VADs is discussed.

Conclusions:

  • Ventricular assist devices represent a vital therapeutic modality for patients with heart failure.
  • Understanding diverse VAD indications and clinical management is essential for optimal patient outcomes.
  • Comprehensive patient care, addressing complications, psychosocial, and ethical issues, is critical for successful VAD therapy.