Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Assessment of the Cardiovascular System III: Palpation

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...

Mitral Valve Prolapse II: Assessment and Management

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...

Assessment of the Cardiovascular System IV: Auscultation

Assessment of the Cardiovascular System IV: Auscultation

Cardiac auscultation is a clinical skill used to assess heart function and detect abnormalities. It involves listening to heart sounds at specific anatomical locations through a stethoscope.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.

Assessment of apical radial pulse

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation

Cardiomyopathy II: Dilated Cardiomyopathy

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,...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Beyond the slope: prognostic utility of the VE/VCO<sub>2</sub> intercept in chronic heart failure.

Open heart·2026

Same author

Myocarditis Prognostic Score: A New Risk Assessment Tool.

Journal of cardiovascular development and disease·2026

Same author

SIENA Score and CVP/PCWP Predict Mid-Term Prognosis After LVAD Implantation: A Single-Center Study.

Journal of cardiovascular development and disease·2026

Same author

Atrial fibrillation secondary to diffuse large B-cell lymphoma responding to corticosteroid treatment: a case report.

European heart journal. Case reports·2026

Same author

Tirzepatide and the Cardiovascular Continuum: Metabolic, Cardiorenal and Heart Failure Evidence.

Clinical Medicine Insights. Cardiology·2026

Same author

Mavacamten toxicity, hepatic dysfunction, and rifampicin: cause or coincidence?

European heart journal. Case reports·2026

Search research articles

Related Experiment Video

Updated: Jan 10, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

Multimodality Assessment for Durable Mechanical Circulatory Support Implantation.

Luca Martini¹, Antonio Pagliaro², Francesca Maria Righini²

¹Department of Medical Biotechnologies, Division of Cardiology, University of Siena, 53100 Siena, Italy.

Diagnostics (Basel, Switzerland)

|November 27, 2025

Summary

This summary is machine-generated.

Advanced heart failure (AdHF) management with durable mechanical circulatory support (DMCS) like LVADs requires thorough preoperative evaluation. Multimodal assessments optimize patient selection and improve outcomes for these complex heart failure cases.

Keywords:

DMCS LVAD advanced heart failure cardiac magnetic resonance right heart catheterization speckle-tracking echocardiography

More Related Videos

Functional Assessment of the Donor Heart During Ex Situ Perfusion: Insights from Pressure-Volume Loops and Surface Echocardiography

Functional Assessment of the Donor Heart During Ex Situ Perfusion: Insights from Pressure-Volume Loops and Surface Echocardiography

Published on: October 11, 2022

Multimodal Study of Murine Cardiovascular Remodeling: Four-Dimensional Ultrasound and Mass Spectrometry Imaging

Multimodal Study of Murine Cardiovascular Remodeling: Four-Dimensional Ultrasound and Mass Spectrometry Imaging

Published on: January 10, 2025

Related Experiment Videos

Last Updated: Jan 10, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

Functional Assessment of the Donor Heart During Ex Situ Perfusion: Insights from Pressure-Volume Loops and Surface Echocardiography

Functional Assessment of the Donor Heart During Ex Situ Perfusion: Insights from Pressure-Volume Loops and Surface Echocardiography

Published on: October 11, 2022

Multimodal Study of Murine Cardiovascular Remodeling: Four-Dimensional Ultrasound and Mass Spectrometry Imaging

Multimodal Study of Murine Cardiovascular Remodeling: Four-Dimensional Ultrasound and Mass Spectrometry Imaging

Published on: January 10, 2025

Area of Science:

Cardiology
Medical Devices
Heart Failure Management

Background:

Global prevalence of advanced heart failure (AdHF) is rising due to aging populations and better chronic heart failure (CHF) survival.
Durable Mechanical Circulatory Support (DMCS), especially Left Ventricular Assist Devices (LVADs), is crucial for AdHF treatment.
Successful DMCS implantation hinges on comprehensive preoperative evaluation.

Purpose of the Study:

To outline the essential components of preoperative evaluation for DMCS implantation.
To highlight the role of various diagnostic modalities in risk stratification.
To emphasize the importance of a multidisciplinary approach in optimizing patient selection.

Main Methods:

Cardiac imaging (echocardiography, CMR) for structural and functional assessment.
Right heart catheterization (RHC) for hemodynamic evaluation.
Cardiopulmonary exercise testing (CPET) for functional capacity assessment.
Systemic comorbidity screening (renal, hepatic, oncologic, psychiatric).

Main Results:

Echocardiography/CMR findings (e.g., low ejection fraction, specific RV strain) predict outcomes.
RHC identifies hemodynamic contraindications (e.g., high PVR, low PAPi).
CPET reveals limited functional reserve (e.g., low peak VO2).
Systemic comorbidities significantly impact surgical risk.

Conclusions:

A multimodal preoperative assessment integrating cardiac, hemodynamic, and systemic data is vital for DMCS candidacy.
Multidisciplinary team collaboration is key to optimizing selection and outcomes for DMCS.
This comprehensive approach improves the management of patients with advanced heart failure.