Table 3.
Indications and contraindications for ventricular assist devices
| Indications | Contraindications |
|---|---|
| NYHA IV | Right ventricular dysfunction∗ |
| LVEF ≤25% | Inadequate social support system |
| Systolic BP <80 mm Hg (cardiac index <2.0) | Anatomical incompatibility |
| Pulmonary capillary wedge pressure ≥20 mm Hg | Terminal comorbidity |
| Aforementioned symptoms despite maximum medical therapy | Neurologic compromise |
| Small body surface area (<1.2) | |
| Bleeding/thrombocytopenia |
NYHA, New York Heart Association, LVEF, left ventricular ejection fraction; BP, blood pressure.
Applicable for left ventricular assist device only.