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Management of Patients with Left Ventricular Assist Device during the COVID-19 Pandemic
Gassan Moady1,2, Tuvia Ben Gal3,4, Shaul Atar1,2
1Department of Cardiology, Galilee Medical Center, 1 Ben Tzvi Blvd., Nahariya 2210001, Israel.
Insights
The COVID-19 pandemic presents unique challenges for patients with left ventricular assist devices (LVADs), impacting cardiovascular health and requiring specialized management strategies for optimal outcomes.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Devices
Background:
- COVID-19 affects multiple organs, including the cardiovascular system.
- Patients with cardiovascular disease face increased risks.
- Advanced heart failure patients often utilize left ventricular assist devices (LVADs).
Purpose of the Study:
- To review the implications of the COVID-19 pandemic on LVAD patients.
- To provide recommendations for managing LVAD patients during the pandemic.
Main Methods:
- Literature review on COVID-19 and LVAD patient management.
- Analysis of cardiovascular complications and psychological effects.
Main Results:
- COVID-19 poses risks including right ventricular involvement, hemodynamic changes, and bleeding/clotting issues.
- Psychological impact of social isolation is significant for LVAD patients.
Conclusions:
- A multidisciplinary approach is crucial for LVAD patients during the COVID-19 pandemic.
- Transfer to specialized centers is recommended for suspected COVID-19 cases in VAD patients.
Abstract:
The novel coronavirus disease 2019 (COVID-19) is an infectious disease with multi-organ involvement, including the cardiovascular system. The disease may cause several cardiovascular complications, and may increase morbidity and mortality among patients with background cardiovascular disease. Patients with advanced heart failure are often treated with left ventricular assist device (LVAD), and represent a unique population mandating multi-disciplinary approach. Several aspects of COVID-19 should be taken into account in LVAD implants, including right ventricular involvement, hemodynamic alterations, thromboembolic and haemorrhagic complications, and the psychological effects of social isolation. Patients with VAD and suspected COVID-19 should be transferred to specialized centers for better management of complications. Here, we review the implications of COVID-19 pandemic on LVAD patients with our recommendations for appropriate management.
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