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The Impact of Ventricular Assist Device Therapy on Patients’ Quality of Life – A Review

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Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) (IEA 2018)

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 818))

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Abstract

With prolonged durability of ventricular assist device (VAD) support, as an established treatment strategy for patients with end-stage heart disease, a paradigm shift to focus on psychosocial outcomes becomes necessary. VAD implant procedures can improve heart failure (HF) symptoms and some aspects of quality of life (QoL). Within this article, constructs with importance to the individuals’ QoL trajectories while being on long-term VAD support will be addressed. These constructs include physical functioning, professional employment, recreational activities and travel, emotional adjustment, and sexuality for those on durable VAD support. Clinicians should monitor these aspects regularly and should encourage ongoing discussions with the patient and caregiver for treatment options in this regard.

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References

  1. Roger VL (2013) Epidemiology of heart failure. Circ Res 113:646–659. https://doi.org/10.1161/CIRCRESAHA.113.300268

    Article  Google Scholar 

  2. De By TMMH, Mohacsi P, Gahl B et al (2017) The European Registry for Patients with Mechanical Circulatory Support (EUROMACS) of the European Association for Cardio-Thoracic Surgery (EACTS): second report. Eur J Cardiothorac Surg. https://doi.org/10.1093/ejcts/ezx320

    Article  Google Scholar 

  3. MacIver J, Ross HJ (2012) Quality of life and left ventricular assist device support. Circulation 126:866–874

    Article  Google Scholar 

  4. Kugler C, Meng M, Rehn E et al (2018) Sexual activity in patients with left ventricular assist device and their partners: impact of the device on quality of life, anxiety, and depression. Eur J Cardiothorac Surg 53:799–806

    Article  Google Scholar 

  5. Sandau KE, Hoglund BA, Weaver CE, Boisjolie C, Feldman D (2014) A conceptual definition of quality of life with left ventricular assist device: results from a qualitative study. Heart Lung 43:32–40. https://doi.org/10.1016/j.hrtlng.2013.09.004

    Article  Google Scholar 

  6. Grosman-Rimon L, Lalonde SD, Sieh N et al (2018) Exercise rehabilitation in ventricular assist device recipients: a meta-analysis of effects on physiological and clinical outcomes. Heart Fail Rev. https://doi.org/10.1007/s10741-018-9695-y

    Article  Google Scholar 

  7. Kugler C, Malehsa D, Schrader E et al (2012) Multi-modal intervention in management of left ventricular assist device outpatients—dietary counseling, controlled exercise and psychosocial support. Eur J Cardiothorac Surg 42:1026–1032

    Article  Google Scholar 

  8. Morales DL, Argenziano M, Oz MC (2000) Outpatient left ventricular assist device support: a safe and economical therapeutic option for heart failure. Prog Cardiovasc Dis 43:55–66

    Article  Google Scholar 

  9. Samuels LE, Holmes EC, Petrucci R (2004) Psychosocial and sexual concerns of patients with implantable left ventricular assist devices: a pilot study. J Thorac Cardiovasc Surg 27:1432–1435

    Article  Google Scholar 

  10. Brouwers C, De Jonge N, Kaliskan K et al (2014) Predictors of changes in health status between and within patients 12 months post left ventricular assist device implantation. Eur J Heart Fail 16:566–573

    Article  Google Scholar 

  11. Brouwers C, Denollet J, Caliskan K et al (2015) Psychological distress in patients with a left ventricular assist device and their partners: an exploratory study. Eur J Cardiovasc Nurs 14:53–62

    Article  Google Scholar 

  12. Overgaard D, Grufstedt Kjeldgaard H, Egerod I (2012) Life in transition: a qualitative study of the illness experience and vocational adjustment of patients with left ventricular assist device. J Cardiovasc Nurs. https://doi.org/10.1097/JCN.0b013e318227f119

    Article  Google Scholar 

  13. Sandau KE, Hoglund BA, Weaver CE et al (2014) A conceptual definition of quality of life with a left ventricular assist device: results from a qualitative study. Heart Lung 43(1):32–40. https://doi.org/10.1016/j.hrtlng.2013.09.004

    Article  Google Scholar 

  14. Jakovljevic DG, McDiarmid A, Hallsworth K et al (2014) Effect of left ventricular assist device implantation and heart transplantation on habitual physical activity and quality of life. Am J Cardiol 114:88–93. https://doi.org/10.1016/j.amjcard.2014.04.008

    Article  Google Scholar 

  15. Coyle LA, Martin MM, Kurien S et al (2008) Destination therapy: safety and feasibility of national and international travel. ASAIO J 54:172–176. https://doi.org/10.1097/MAT.0b013e318167316d

    Article  Google Scholar 

  16. Hammadah M, Kindya BR, Allard-Ratick MP et al (2017) Navigating air travel and cardiovascular concerns: is the sky the limit? Clin Cardiol 40:660–666. https://doi.org/10.1002/clc.22741

    Article  Google Scholar 

  17. Tigges-Limmer K, Brocks Y, Winkler Y et al (2017) Psychosocial aspects in the diagnostics and therapy of VAD patients. Z Herz- Thorax- Gefaesschirurgie. https://doi.org/10.1007/s00398-017-0171-0

    Article  Google Scholar 

  18. Grady KL, Wissman S, Naftel DC et al (2016) Age and gender differences and factors related to change in health-related quality of life from before to 6 months after left ventricular assist device implantation: findings from Interagency Registry for Mechanically Assisted Circulatory Support. J Heart Lung Transplant 35:777–788. https://doi.org/10.1016/j.healun.2016.01.1222

    Article  Google Scholar 

  19. Cowger JA, Naka Y, Aarondon KD et al (2018) Quality of life and functional capacity outcomes in the MOMENTUM 3 trial at six months: a call for new metrics for left ventricular assist device patients. J Heart Lung Transplant 37:15–24. https://doi.org/10.1016/j.healun.2017.10.019

    Article  Google Scholar 

  20. Bidwell JT, Lyons KS, Mudd JO et al (2017) Quality of life, depression, and anxiety in ventricular assist device therapy: longitudinal outcomes for patients and family caregivers. J Cardiovasc Nurs 32:455–463

    Article  Google Scholar 

  21. Magnussen C, Bernhardt AM, Ojeda FM et al (2018) Gender differences and outcomes in left ventricular assist device support: the European registry for patients with mechanical circulatory support. J Heart Lung Transplant 37:61–70. https://doi.org/10.1016/j.healun.2017.06.016

    Article  Google Scholar 

  22. Bunzel B, Laederach-Hofmann K, Wieselthaler G, Roethy W, Drees G (2005) Posttraumatic stress disorder after implantation of a mechanical assist device followed by heart transplantation: evaluation of patients and partners. Transplant Proc 37:1365–1368

    Article  Google Scholar 

  23. Baba A, Hirata G, Yokoyama F et al (2006) Psychiatric problems of heart transplant candidates with left ventricular assist devices. J Artif Organs 9:203–208

    Article  Google Scholar 

  24. Eshelman AK, Mason S, Nemeh H, Williams C (2009) LVAD destination therapy: applying what we know about psychiatric evaluation and management from cardiac failure and transplant. Heart Fail Rev 14:21–28

    Article  Google Scholar 

  25. Hasin T, Jaarsma T, Murninkas D (2014) Sexual function in patients supported with left ventricular assist device and with heart transplant. ESC Heart Fail. https://doi.org/10.1002/ehf2.12014

    Article  Google Scholar 

  26. Merle P, Maxhera B, Albert A et al (2015) Sexual concerns of patients with implantable left ventricular assist devices. Artif Organs 2015(39):664–669. https://doi.org/10.1111/aor.12535

    Article  Google Scholar 

  27. Kato N, Jaarsma T, Ben Gal T (2014) Learning self-care after left ventricular assist device implantation. Curr Heart Fail Rep 11:290–298. https://doi.org/10.1007/s11897-014-0201-0

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Faculty of Medicine, Institute of Nursing Science, Albert-Ludwigs-University of Freiburg, Elsässer Str. 2-o, 79106, Freiburg, Germany

    Christiane Kugler

Authors
  1. Christiane Kugler
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Correspondence to Christiane Kugler .

Editor information

Editors and Affiliations

  1. University of the Republic of San Marino, San Marino, San Marino

    Sebastiano Bagnara

  2. Centre for Clinical Risk Management and Patient Safety, Tuscany Region, Florence, Italy

    Riccardo Tartaglia

  3. Centre for Clinical Risk Management and Patient Safety, Tuscany Region, Florence, Italy

    Sara Albolino

  4. Fraunhofer FKIE, Bonn, Nordrhein-Westfalen, Germany

    Thomas Alexander

  5. International Ergonomics Association, Tokyo, Japan

    Yushi Fujita

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Kugler, C. (2019). The Impact of Ventricular Assist Device Therapy on Patients’ Quality of Life – A Review. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 818. Springer, Cham. https://doi.org/10.1007/978-3-319-96098-2_30

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