Table 3. Interagency registry for mechanically assisted circulatory support profile descriptions of patients with advanced heart failure.
Profile | Time for decision |
---|---|
1 Critical cardiogenic shock. Patient with hypotension despite inotrope therapy | Intervention needed in hours—same day |
2 Progressive decline. Declining organ function with inotrope support | Intervention needed in days—same week |
3 Stable with inotropes. Stable organ function with inotrope support | Elective decision—weeks to months |
4 Frequent flyer. Patient can be stabilized with normal volume status but has symptoms at rest or with everyday activities | Elective decision—weeks to months |
5 Housebound. Stable at rest | Variable—depends regarding nutrition, activity and organ function |
6 Exertion limited. Patient without evidence of fluid overload, comfortable at rest and with activities of daily living | Variable—depends regarding nutrition, activity and organ function |
7 Advanced NYHA class III symptoms. Patient without current or recent decompensation | No indication for advanced HF therapy |
NYHA, New York Heart Association-Classification; HF, heart failure.