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Management of Hypertension after Ventricular Assist Device Implant

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Ventricular-Assist Devices and Kidney Disease
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Abstract

Left ventricular assist devices are widely available for end stage heart failure patients as a destination therapy or as a bridge to transplantation. Hypertension is a well-established risk factor for renal disease and stroke in the absence of a left ventricular assist device. There is increasing evidence that hypertension also contributes to various adverse outcomes including stroke, aortic insufficiency, and thromboembolic events in left ventricular device patients. The accurate measurement of blood pressure as well as the recognition and management of hypertension in patients with left ventricular assist devices is essential for optimizing device function, end organ perfusion, and for reducing the likelihood of adverse events. As clinical experience with left ventricular assist devices increases, blood pressure goals as well as methods to measure blood pressure in continuous flow left ventricular device patients have been further defined.

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Correspondence to Mosi K. Bennett .

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Bennett, M.K., Smith, E.M. (2018). Management of Hypertension after Ventricular Assist Device Implant. In: Desai, C., Cotts, W., Lerma, E., Rudnick, M. (eds) Ventricular-Assist Devices and Kidney Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-74657-9_9

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  • DOI: https://doi.org/10.1007/978-3-319-74657-9_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74656-2

  • Online ISBN: 978-3-319-74657-9

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