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Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

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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...
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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Cardiomyopathy II: Dilated Cardiomyopathy01:30

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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,...
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Cardiac Catheterization IV: Nursing Management01:26

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Heart Failure VI: Adjunct Therapies01:22

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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.
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Implantation of Left Ventricular Assist Device (LVAD) in Juvenile Landrace Swine: A LVAD Implantation Model of Pediatric Heart Failure
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Published on: January 16, 2026

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Cognitive function and left ventricular assist device implantation.

Geetha Bhat1, Gardner Yost1, Edward Mahoney1

  • 1Center for Heart Transplant and Assist Devices, Advocate Christ Medical Center, Oak Lawn, Illinois.

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation
|July 15, 2015
PubMed
Summary
This summary is machine-generated.

Cognitive impairment is common in heart failure (HF) patients. The Montreal Cognitive Assessment (MoCA) effectively screens for this, showing significant improvement after left ventricular assist device (LVAD) implantation.

Keywords:
Montreal Cognitive Assessment (MoCA)cognitive functionheart failure (HF)left ventricular assist device (LVAD)mild cognitive impairment (MCI)

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Area of Science:

  • Cardiology
  • Neurology
  • Geriatrics

Background:

  • Cognitive impairment is prevalent in heart failure (HF) patients, impacting quality of life and mortality.
  • The Montreal Cognitive Assessment (MoCA) is a validated tool for detecting mild cognitive impairment (MCI).
  • This study investigated cognitive function in advanced HF patients undergoing evaluation for surgical therapy.

Purpose of the Study:

  • To determine the prevalence of cognitive impairment in advanced HF patients using the MoCA.
  • To evaluate changes in MoCA scores 8 months after left ventricular assist device (LVAD) implantation.

Main Methods:

  • 176 advanced HF patients received MoCA screening as part of LVAD candidacy assessment.
  • 56 patients underwent follow-up MoCA assessment 8 months post-LVAD implantation.

Main Results:

  • 67% of HF patients exhibited MCI (MoCA score <26).
  • MCI was linked to older age, higher CHADS2 scores, statin use, stroke history, hypertension, and lower cholesterol.
  • Significant improvements were observed in overall MoCA scores and specific cognitive domains (visuospatial, executive, delayed recall) after LVAD.

Conclusions:

  • The MoCA is a practical tool for identifying cognitive impairment in end-stage HF patients.
  • MCI is highly prevalent in this population.
  • LVAD implantation led to significant cognitive improvements.