The Impact of Ventricular Assist Device Therapy on Patients’ Quality of Life – A Review
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.
- 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.2016.01.1222CrossRefGoogle 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.2017.10.019CrossRefGoogle Scholar