Table of advice.
Management of ES
Advice TO DO | Evidence | Strength |
---|---|---|
A multidisciplinary management including various actors (electrophysiologist, HF specialist, anaesthesiologist, cardiac surgeons, nurses) is necessary for LVAD patients presenting an ES | OBS |
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Identification and treatment of acute triggers (like adrenergic stimuli, inotropic drugs, electrolyte imbalance, ischaemia, or QT prolongation) that are often present during the post-operative period | OPN |
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The usual therapeutic strategies used for ES (including cardioversion/defibrillation shocks or antitachycardia pacing, AADs, adrenergic blockade, sedation/anxiolysis, and pharmacological haemodynamic support) are appropriate in patients with LVAD.49,78 | OBS |
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Catheter ablation of VAs is adviced in selected LVAD patients with refractory ES presumed it is performed in high volume expert centre.60,62,83 | OBS |
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