Mechanical circulatory support devices and their applications: introduction to mechanical circulatory support devices

Published on May 30, 2024   33 min

A selection of talks on Clinical Practice

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0:00
Hi. I'm Carmen Presti. I'm an Acute Care Nurse Practitioner. I work in the cardiovascular ICU, the thoracic unit, which is also lung transplant and ECMO, and the general surgery ICU. I'm going to begin the discussion today that just is a basic overview on the use of mechanical circulatory support devices. This will not encompass all configurations, but at least we'll give an introduction to the topic.
0:29
So, here are some objectives that I hope to meet by the end of today's talk. As you can see, we're going to be talking about temporary versus durable mechanical circulatory support devices and indications, complications, contraindications as well.
0:47
So, we all know that in the United States cardiovascular disease is the number 1 killer, but it is also a problem of pandemic proportions. Recently, the Heart Failure Society of America, the European Society of Cardiology and Japanese Heart Failure Societies all convened to develop a universal definition of heart failure (HF), which is considered a clinical syndrome with symptoms and/or signs caused by a structural and/or functional cardiac abnormality corroborated by elevated natriuretic peptides which indicate obviously fluid overload status of the heart and/or objective evidence of pulmonary or systemic congestion. In the United States, we see that these numbers are going to be increasing by 2030 because of the aging of the population as well as advanced levels of obesity and diabetes, and that's going to come along with an increase of 127% estimated in healthcare costs. So, this is general heart failure, but we're going to drill down into advanced heart failure subsets that then necessitate mechanical circulatory support.

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