Medical and Surgical Therapy for Advanced Heart Failure in the Modern Era provides a comprehensive and in-depth review of important topics in both medical and surgical therapy of heart failure, with a special focus on recent and significant advancements in the field. Sections review updated epidemiology, pathophysiology and clinical approaches to advanced heart failure, medical and surgical therapies, and controversies and modern advancements in the field. Topics include advancements in our understanding and treatment of patients supported with ventricular assist devices, including protocols for gastrointestinal bleeding, blood pressure management, anticoagulation practices, and management of valvular disease during LVAD support.
The book includes the use of Entresto, a novel agent used in heart failure and the use of remote monitoring such as the Cardiomems system. From a surgical standpoint, there are new technologies in this space, including fully implantable LVADs on the horizon, and the Sherpapak system for maintaining cold temperature during donor organ transport.
Table of Contents
Part I Advanced Heart Failure: Epidemiology, Pathophysiology, and Clinical Approach 1. Epidemiology of Heart Failure 2. Pathophysiology of Heart Failure 3. Clinical Approach to Patients with Advanced Heart Failure 4. Right Heart Failure 5. Cardiorenal Syndrome 6. Frailty in Heart Failure 7. Cardiac Rehabilitation and Exercise Therapy 8. Imaging in Heart Failure 9. Immunology of Heart Transplantation
Part II Medical Therapy for Advanced Heart Failure 10. Primary Prevention of Advanced Heart Failure 11. Cardiac Resynchronization Therapy 12. Referral to Advance Heart Failure Specialists 13. Medical Approach to Heart Failure with Preserved Ejection Fraction 14. Pharmocologic Therapy for Advanced Heart Failure 15. Arrythmia Management in Heart Failure 16. Pulmonary Arterial Hypertension 17. Approach to and Management of Acute Decompensated Heart Failure and Cardiogenic Shock 18. Medical Management following Ventricular Assist Device Implantation 19. Medical Management of the Heart Transplant Recipient 20. Palliative Care in the Heart Failure Patient
Part III Surgical Therapy for Advanced Heart Failure 21. Anesthesia Management of the Heart Failure Patient 22. Conventional Cardiac Surgery for Heart Failure 23. Temporary Percutaneous Mechanical Circulatory Support 24. Temporary Surgical Mechanical Circulatory Support 25. Durable Left Ventricular Assist Devices 26. Left Ventricular Assist Devices: Pump Exchanges, Complex Cases and Concomitant Procedures 27. Management of Right Heart Failure with Left Ventricular Assist Devices 28. Total Artificial Heart 29. Isolated Heart Transplantation 30. Transplantation for Adults with Congenital Heart Disease 31. Simultaneous Heart-Lung Transplantation 32. Simultaneous Heart-Kidney Transplantation 33. Simultaneous Heart-Liver Transplantation 34. Redo Heart Transplantation
Part IV Controversies and Modern Advancements in Advanced Heart Failure 35. Novel Agents in Heart Failure 36. Remote Monitoring of Advanced Heart Failure Patients 37. Durable Left Ventricular Assist Device Therapy in Ambulatory Heart Failure 38. Use of Hepatitis C Positive Donors in Heart Transplantation 39. Organ Preservation and Novel Transport Systems for Donor Organs 40. Donation after Cardiac Death Heart Transplantation 41. Technologic Advancements in Ventricular Assist Device Therapy 42. Artificial Intelligence and Machine Learning in Advanced Heart Failure 43. Relationships with Industry