Related Experiment Video
Updated: Jun 23, 2025
08:49
Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
Published on: May 11, 2018
9.4K
Obesity, Challenges, and Weight-Loss Strategies for Patients With Ventricular Assist Devices.
Adrian daSilva-deAbreu1, Jo E Rodgers2, Jessica Seltz3
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA; Doctoral School, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.
JACC. Heart Failure
|June 21, 2024
Summary
Obesity poses challenges for advanced heart failure patients, often precluding heart transplantation (HT). Bariatric surgery aids weight loss for LVAD patients seeking HT, but requires careful consideration.
Area of Science:
- Cardiology
- Bariatric Surgery
- Transplantation Medicine
Background:
- Class II/III obesity (BMI ≥35 kg/m²) presents significant challenges for adults with advanced heart failure.
- Obesity is a contraindication for heart transplantation (HT) at many medical centers.
- Weight management is crucial for advanced heart failure patients to become HT candidates.
Purpose of the Study:
- To review the impact of obesity and weight-loss strategies on patients with left ventricular assist devices (LVADs).
- To evaluate the efficacy of bariatric surgery (BSx) in enabling LVAD patients to achieve sufficient weight loss for HT candidacy.
- To discuss perioperative considerations for LVAD recipients undergoing BSx.
Main Methods:
- Systematic review of published reports on obesity and weight-loss interventions in LVAD patients.
- Analysis of bariatric surgery outcomes in the context of heart transplantation candidacy.
- Interpretation of data regarding perioperative protocols for LVAD patients undergoing BSx.
Main Results:
- Bariatric surgery demonstrates the highest efficacy among weight-loss strategies for significant weight reduction.
- BSx has enabled select LVAD patients with obesity to become eligible for HT.
- Both BSx and anti-obesity medications require cautious application in the LVAD population.
Conclusions:
- Weight-loss strategies, particularly bariatric surgery, are vital for improving HT candidacy in obese advanced heart failure patients with LVADs.
- Careful perioperative management is essential for LVAD recipients undergoing bariatric surgery.
- Further research is needed to optimize the use of weight-loss interventions in this patient cohort.
Keywords:
bariatric surgeryheart failureheart transplantationleft ventricular assist devicesobesityweight lossMore Related Videos
Related Concept Videos
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.8K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.8K
01:24Obesity
451
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
451
01:15Diabetes: Management and Pharmacotherapy
257
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
257
01:23Mechanical Ventilation II: Invasive Ventilation
125
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...
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...
125
01:29Mechanical Ventilation I: Indication and Settings
277
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
277