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Orthostatic Hypotension After Continuous-Flow Left Ventricular Assist Device Implantation in a Patient With Longstanding Diabetes Mellitus.
Chew, Derek S; Shaw, Brett H; Isaac, Debra L; Howlett, Jonathan G; Raj, Satish R.
Affiliation
  • Chew DS; Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.
  • Shaw BH; Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.
  • Isaac DL; Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.
  • Howlett JG; Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.
  • Raj SR; Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada. Electronic address: satish.raj@ucalgary.ca.
Can J Cardiol ; 33(4): 555.e5-555.e7, 2017 04.
Article in En | MEDLINE | ID: mdl-28024941
ABSTRACT
A continuous-flow left ventricular assist device (CF-LVAD) benefits patients with advanced heart failure as a bridge to cardiac transplantation. However, unanticipated complications may occur. We report a patient with end-stage heart failure and longstanding diabetes who experienced functionally debilitating orthostatic hypotension from autonomic insufficiency after CF-LVAD implantation. This case demonstrates a role for comprehensive autonomic function testing in the workup of orthostatic hypotension after LVAD implantation.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Blood Pressure / Heart-Assist Devices / Ventricular Function, Left / Recovery of Function / Diabetes Mellitus, Type 2 / Heart Failure / Hypotension, Orthostatic Limits: Female / Humans / Middle aged Language: En Journal: Can J Cardiol Journal subject: CARDIOLOGIA Year: 2017 Document type: Article Affiliation country: Canadá
Fulltext
Add to My VHL
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PubMed Links
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Blood Pressure / Heart-Assist Devices / Ventricular Function, Left / Recovery of Function / Diabetes Mellitus, Type 2 / Heart Failure / Hypotension, Orthostatic Limits: Female / Humans / Middle aged Language: En Journal: Can J Cardiol Journal subject: CARDIOLOGIA Year: 2017 Document type: Article Affiliation country: Canadá