Table 3.

General evaluation in the patient candidate for left ventricular assist devices.

	Factors conditioning the LVAD implant	Contraindications
Age		>75 years
Life style		Smoking habit, addiction to alcohol and psychotropic substances
Non-cardiological conditions	Multiorgan dysfunction Neurological/psychiatric conditions Coagulation Kidney function Hepatic function Respiratory pathology Oncological pathologies Diabetes mellitus Obesity	Irreversible multi-organ failure Degenerative neuro / muscular diseases Recent stroke Psychiatric/cognitive and / or psycho-social conditions with poor adherence to treatment Coagulopathies Uncontrollable bleeding Irreversible renal failure Severe hepatic insufficiency Severe respiratory failure (FEV1 <50%) Life expectancy <2 years Poor control of blood glucosevalues
Cardiological conditions	Left ventricle - Recent myocardial infarction - Left endoventricularthrombosis	Apical infarction
	Right ventricle - Right ventricular function (multiparametric approach) and pulmonarypressures	Severe right ventricular dysfunction Pulmonary hypertension
	Valvulopathies and valve prostheses - Aortic valve - Mitral stenosis - Tricuspid insufficiency - Endocarditis	Uncorrectable moderate-severe insufficiency Uncorrectable moderate-severe insufficiency Active endocarditis
	Arrhythmias - Atrial tachyarrhythmias with a high response rate - Ventriculartachycardias	Uncontrolled ventricular tachyarrhythmias
	- Previous cardiacsurgery	Previous ventriculoplasty
	Other cardiovascularconditions - Atrial and interventricular septal defects - Restrictive or constricting forms - Anomalies affecting the ascending aorta - (dilation, calcifications, atherosclerotic plaques) - Peripheral vasculopathy - Congenital heartdisease

FEV1, forced expiratory volume in the firstsecond.